Organization
APPLIED BEHAVIOR ANALYTICS ABA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SELENA WAITE LPA, LCMHC, HSP-PA (EXECUTIVE DIRECTOR)
(919) 225-5819
Entity
Organization
Contact information
Practice address
2310 S. MIAMI BLVD. SUITE 142, DURHAM, NC 27703
(919) 884-1108
Mailing address
2309 NEBO STREET, DURHAM, NC 27707
(919) 225-5819
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
103T00000X
Psychologist
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
—
171R00000X
Interpreter
—
—
222Q00000X
Developmental Therapist
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
06/26/2023
Last updated
12/27/2024
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