Organization
ERTEL ABA LLC
Active
Other names
Atlantic Coast ABA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HALLIE ERTEL PH.D., BCBA-D (OWNER)
(757) 375-3461
Entity
Organization
Contact information
Practice address
6824 VINTAGE LN, PORT ORANGE, FL 32128-4093
(757) 375-3461
Mailing address
6824 VINTAGE LN, PORT ORANGE, FL 32128-4093
(757) 375-3461
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
08/13/2021
Last updated
01/06/2022
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