Organization
CROWN ABA GA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARI LEVINE (CEO)
(917) 808-2631
Entity
Organization
Contact information
Practice address
4401 SHALLOWFORD RD, ROSWELL, GA 30075-3193
(410) 995-8388
Mailing address
23 BERNARD ST, LAWRENCE, NY 11559-1236
(410) 995-8388
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/23/2026
Last updated
02/23/2026
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