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Organization

EARLY BIRD'S ABA, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KEELY HACKNEY M.S., BCBA (OWNER)
(770) 596-3828
Entity
Organization

Contact information

Practice address
2337 STONE DR SW, LILBURN, GA 30047-5717
(770) 596-3828
Mailing address
2337 STONE DR SW, LILBURN, GA 30047-5717
(770) 596-3828

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
05/25/2016
Last updated
05/25/2016
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