Organization
SUNRISE ABA & AUTISM SERVICES, L.L.C
Active
Other names
n/a
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MAMIE ANN TURNER BCBA (BEHAVIOR ANALYST)
(336) 455-1517
Entity
Organization
Contact information
Practice address
4160 PIEDMONT PKWY STE 205, GREENSBORO, NC 27410-8174
(336) 645-6733
(336) 645-7051
Mailing address
5202 OLDE FOREST DR, GREENSBORO, NC 27406-8763
(336) 455-1517
(336) 645-7051
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548811177
—
NC
Enumeration date
09/25/2019
Last updated
08/24/2020
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