Organization
ABA MAGICAL MOMENTS NC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB KLEIN (CEO)
(323) 578-2618
Entity
Organization
Contact information
Practice address
50101 GOVERNORS DR STE 280, CHAPEL HILL, NC 27517-9517
(323) 578-2618
Mailing address
50101 GOVERNORS DR STE 280, CHAPEL HILL, NC 27517-9517
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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