Organization
CANVAS ABA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLA ZAMBRON M.A., BCBA, LBA (OWNER)
(910) 746-7187
Entity
Organization
Contact information
Practice address
14886 US HIGHWAY 17, HAMPSTEAD, NC 28443-3217
(910) 746-7187
Mailing address
770 HIGHLANDS DR, HAMPSTEAD, NC 28443-7438
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
12/27/2021
Last updated
12/07/2023
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