Organization
ABA THERAPY CENTER LLC
Active
Other names
ABA Therapy Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM S TULLY (ADMINISTRATIVE DIRECTOR)
(912) 459-9999
Entity
Organization
Contact information
Practice address
10164 FORD AVE STE D, RICHMOND HILL, GA 31324-3948
(912) 459-9999
(912) 445-0023
Mailing address
10164 FORD AVE STE D, RICHMOND HILL, GA 31324-3948
(912) 459-9999
(912) 445-0023
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-12747
—
Other
Enumeration date
04/09/2014
Last updated
04/09/2014
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