Organization
RAINBOW ABA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOSHE JACOBOVITCH (MANAGER)
(440) 841-3857
Entity
Organization
Contact information
Practice address
100 N PATTERSON ST STE 117, VALDOSTA, GA 31601-5570
(404) 590-2550
Mailing address
100 N PATTERSON ST STE 117, VALDOSTA, GA 31601-5570
(440) 841-3857
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/19/2022
Last updated
09/21/2023
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