Organization
ABA DIRECT PLLC
Active
Other names
ABA Direct LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK G THORBOURNE BCBA (CLINICAL DIR)
(646) 420-6837
Entity
Organization
Contact information
Practice address
19730 RALSTON ST, DETROIT, MI 48203-1546
(770) 865-7722
(404) 806-6662
Mailing address
19730 RALSTON ST, DETROIT, MI 48203-1546
(770) 865-7722
(404) 806-6662
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/09/2023
Last updated
06/09/2023
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