| Abascape Llc | |
|
3633 Wheeler Rd Ste 320 Augusta GA 30909-6552 | |
| (706) 691-4729 | |
| Not Available |
| Full Name | Abascape Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3633 Wheeler Rd Ste 320, Augusta, Georgia |
| Authorized Official Name and Position | Mira N Stallings (BCBA/OWNER) |
| Authorized Official Contact | 7066914729 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Abascape Llc 2171 Foster Sprouse Rd Thomson GA 30824-6918 Ph: (706) 691-4729 | Abascape Llc 3633 Wheeler Rd Ste 320 Augusta GA 30909-6552 Ph: (706) 691-4729 |
| NPI Number | 1740953140 |
|---|---|
| Provider Enumeration Date | 07/30/2021 |
| Last Update Date | 06/14/2023 |
| Certification Date | 06/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740953140 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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