Organization
MAGNOLIA MILESTONES ABA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT LALAS (OWNER)
(704) 578-1099
Entity
Organization
Contact information
Practice address
3618 RIVER WATCH LN, FRANKLINTON, NC 27525-7051
(704) 578-1099
Mailing address
3618 RIVER WATCH LN, FRANKLINTON, NC 27525-7051
(704) 578-1099
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/29/2024
Last updated
02/29/2024
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