Organization
AT HOME ABA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM CALEB STANFIELD (OWNER)
(912) 492-0888
Entity
Organization
Contact information
Practice address
714 MERGANSER CIR, GLENNVILLE, GA 30427-2328
(912) 492-0888
Mailing address
714 MERGANSER CIR, GLENNVILLE, GA 30427-2328
(912) 492-0888
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/28/2025
Last updated
07/28/2025
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