Organization
ABA SPECIALISTS ATLANTA LLLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCISCO J MATOS (CEO)
(404) 528-3766
Entity
Organization
Contact information
Practice address
3775 VENTURE DR STE M101, DULUTH, GA 30096-5217
(470) 610-4222
Mailing address
3775 VENTURE DR STE M101, DULUTH, GA 30096-5217
(470) 610-4222
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
12/16/2020
Last updated
02/23/2021
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