Organization
TOTAL CARE ABA GA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUBEN KESHERIM (FOUNDER)
(718) 404-5355
Entity
Organization
Contact information
Practice address
320 LANIER AVE W STE 200, FAYETTEVILLE, GA 30214-7443
(516) 670-5374
Mailing address
148 DOUGHTY BLVD STE 260, INWOOD, NY 11096-2047
(516) 670-5374
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
04/06/2021
Last updated
04/07/2021
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