Organization
KSD ABA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIM B (DIRECTOR)
(929) 466-1305
Entity
Organization
Contact information
Practice address
3455 PEACHTREE RD NE, ATLANTA, GA 30326-3254
(929) 466-1305
Mailing address
3455 PEACHTREE RD NE, ATLANTA, GA 30326-3254
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/05/2023
Last updated
05/05/2023
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