Organization
GO ABA THERAPY LLC
Active
Other names
Go ABA
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS A SMITH (OWNER)
(219) 299-7187
Entity
Organization
Contact information
Practice address
3086 RAMBLEWOOD ST, PORTAGE, IN 46368-7220
(219) 299-7187
Mailing address
3086 RAMBLEWOOD ST, PORTAGE, IN 46368-7220
(219) 299-7187
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/22/2021
Last updated
07/05/2021
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