Organization
KIDS CLUB ABA MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOISHE BOBKER (CEO)
(404) 458-0809
Entity
Organization
Contact information
Practice address
1 OLYMPIC PL STE 900, TOWSON, MD 21204-4113
(404) 458-0809
Mailing address
17 NEWPORT DR, NANUET, NY 10954-3111
(404) 458-0809
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/16/2025
Last updated
01/16/2025
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