Organization
PROFESSIONAL SERVICES FOR FAMILIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUREA R CORDOVA CROSBY BCBA (SUPERVISOR)
(347) 226-0023
Entity
Organization
Contact information
Practice address
805 PLEASANT HILL RD NW UNIT 243, LILBURN, GA 30047-2886
(347) 226-0023
Mailing address
805 PLEASANT HILL RD NW UNIT 243, LILBURN, GA 30047-2886
(347) 226-0023
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/21/2020
Last updated
04/21/2020
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