Organization
SEEDGROW ABA INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE NICOLE KNOX BCBA-D (CHIEF EXECUTIVE OFFICER)
(706) 304-1287
Entity
Organization
Contact information
Practice address
8269 LANTERN LN, COLUMBUS, GA 31904-1560
(706) 304-1287
Mailing address
8269 LANTERN LN, COLUMBUS, GA 31904-1560
(706) 304-1287
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13604699
CAQH
GA
Enumeration date
08/12/2024
Last updated
08/12/2024
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