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Organization

DIVERGENT MINDS ABA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JESSICA ZIOBRO BCBA (OWNER)
(810) 922-3464
Entity
Organization

Contact information

Practice address
108 NEW EDITION CT, CARY, NC 27511-4449
(919) 377-2198
Mailing address
1000 APPALACHIN DR, FAYETTEVILLE, NC 28311-0107

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
06/02/2023
Last updated
02/22/2024
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