Organization
ALREADY ABA THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK BULLARD (CHIEF EXECUTIVE OFFICER)
(704) 564-1536
Entity
Organization
Contact information
Practice address
1180 SAM RITTENBERG BLVD STE 240, CHARLESTON, SC 29407-3388
(843) 371-1419
Mailing address
3020I PROSPERITY CHURCH RD # 247, CHARLOTTE, NC 28269-8112
(704) 564-1536
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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