| Allied Behavioral Management, Inc. | |
|
603 Pecan Lane Whiteville NC 28472-2949 | |
| (910) 640-2021 | |
| (910) 640-2022 |
| Full Name | Allied Behavioral Management, Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 603 Pecan Lane, Whiteville, North Carolina |
| Authorized Official Name and Position | Larry Wayne Cribb (PRESIDENT/OWNER) |
| Authorized Official Contact | 9106402021 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Allied Behavioral Management, Inc. 603 Pecan Lane Whiteville NC 28472-2949 Ph: (910) 640-2021 | Allied Behavioral Management, Inc. 603 Pecan Lane Whiteville NC 28472-2949 Ph: (910) 640-2021 |
| NPI Number | 1023340213 |
|---|---|
| Provider Enumeration Date | 02/12/2010 |
| Last Update Date | 02/12/2010 |
| Medicare PECOS PAC ID | 5193851442 |
|---|---|
| Medicare Enrollment ID | O20100326000094 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023340213 | NPI | - | NPPES |
| Provider Name | Angel L Vazquez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659477677 PECOS PAC ID: 4284641101 Enrollment ID: I20060316000481 |
| Provider Name | Diane White |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093778011 PECOS PAC ID: 5294823720 Enrollment ID: I20071117000065 |
| Provider Name | Kathleen Nancy Kelly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679718688 PECOS PAC ID: 0244397511 Enrollment ID: I20140324000497 |
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