Organization
IMAGINE APPLIED BEHAVIOR ANALYSIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACOB DOSS BCBA, LBA (EXECUTIVE DIRECTOR)
(205) 468-0993
Entity
Organization
Contact information
Practice address
164 STRICKLIN RD, CULLMAN, AL 35057-3305
(256) 469-8493
Mailing address
164 STRICKLIN RD, CULLMAN, AL 35057-3305
(256) 469-8493
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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