Organization
GREAT EXPECTATIONS ABA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KEYNA RODGERS (MANAGER)
(219) 239-2902
Entity
Organization
Contact information
Practice address
4950 BROADWAY, GARY, IN 46408-4654
(219) 239-2902
Mailing address
4950 BROADWAY, GARY, IN 46408-4654
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/16/2023
Last updated
10/21/2023
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