Organization
LIVING FORWARD ABA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY DECKER (OWNER)
(765) 506-0297
Entity
Organization
Contact information
Practice address
3426 W DELPHI PIKE, MARION, IN 46952-9266
(410) 688-9989
Mailing address
3426 W DELPHI PIKE, MARION, IN 46952-9266
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/30/2019
Last updated
09/30/2019
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