Organization
BRILLIANT MINDS ABA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARA F WHITE BCBA (CEO, OWNER)
(678) 208-9893
Entity
Organization
Contact information
Practice address
7465 HIGHTOWER CIR, CUMMING, GA 30028-1374
(678) 208-9893
(435) 608-9376
Mailing address
7465 HIGHTOWER CIR, CUMMING, GA 30028-1374
(678) 208-9893
(435) 608-9376
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003246117
—
GA
Enumeration date
04/12/2021
Last updated
02/23/2023
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