Organization
ABA SPECIALISTS OF MORGANTOWN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA D TAYLOR (CREDENTIALING COORDINATOR)
(304) 399-4405
Entity
Organization
Contact information
Practice address
345 FALCON RUN, MORGANTOWN, WV 26508-4526
(269) 876-9789
Mailing address
PO BOX 4100, BARBOURSVILLE, WV 25504-4100
(304) 399-4405
(304) 399-2526
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/17/2018
Last updated
04/17/2018
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