| Aba Twenty-nine Eleven Llc | |
|
2755 Carrollton Hwy Temple GA 30179-4920 | |
| (404) 275-0514 | |
| Not Available |
| Full Name | Aba Twenty-nine Eleven Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2755 Carrollton Hwy, Temple, Georgia |
| Authorized Official Name and Position | Kimberly Waldrop (OWNER/BCBA) |
| Authorized Official Contact | 4042750514 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aba Twenty-nine Eleven Llc 2755 Carrollton Hwy Temple GA 30179-4920 Ph: (404) 275-0514 | Aba Twenty-nine Eleven Llc 2755 Carrollton Hwy Temple GA 30179-4920 Ph: (404) 275-0514 |
| NPI Number | 1265296107 |
|---|---|
| Provider Enumeration Date | 02/12/2024 |
| Last Update Date | 02/12/2024 |
| Certification Date | 02/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265296107 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |