Organization
NEW DAY ABA THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE BOLTWOOD (BILLING MANAGER)
(770) 530-9051
Entity
Organization
Contact information
Practice address
2450 ATLANTA HWY STE 902, CUMMING, GA 30040-1252
(770) 282-7676
(833) 255-5667
Mailing address
2450 ATLANTA HWY STE 902, CUMMING, GA 30040-1252
(770) 282-7676
(833) 255-5667
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1052189
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003206816A
—
GA
01
—
1326548199
NPI
—
Enumeration date
03/31/2018
Last updated
06/30/2019
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