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Organization

FRAGILE X LIFE, ABA GROUP

Active
Other names
Fragile X Life, ABA Group
Organization subpart
No

Provider details

NPI number
Authorized official
TIMICA ROSSETTA RADDEN BCBA (BCBA)
(760) 801-2015
Entity
Organization

Contact information

Practice address
13010 MORRIS RD STE 600, ALPHARETTA, GA 30004-5096
(770) 300-7915
(470) 826-4629
Mailing address
13010 MORRIS RD STE 600, ALPHARETTA, GA 30004-5096
(770) 300-7915
(470) 826-4629

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
05/06/2019
Last updated
11/21/2025
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