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Organization

COASTAL CAROLINA ABA, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. AMBER IRVIN (FOUNDER & BEHAVIOR ANALYST)
(910) 990-9913
Entity
Organization

Contact information

Practice address
538 HERBIE RD, ROSEBORO, NC 28382-7076
(910) 990-9913
Mailing address
538 HERBIE RD, ROSEBORO, NC 28382-7076
(910) 990-9913

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
07/31/2019
Last updated
07/31/2019
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