Organization
ABA DIRECT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK G THORBOURNE BCBA (CEO)
(646) 420-6837
Entity
Organization
Contact information
Practice address
2924 TWO LAKE CIR, ATLANTA, GA 30349-8208
(646) 420-6837
Mailing address
2924 TWO LAKE CIR, ATLANTA, GA 30349-8208
(646) 420-6837
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/29/2021
Last updated
09/06/2023
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