| Anchored Aba LLC | |
|
79368 Plummers Creek Dr Yulee FL 32097-2674 | |
| (757) 648-0854 | |
| Not Available |
| Full Name | Anchored Aba LLC |
|---|---|
| Speciality | Behavior Analyst |
| Location | 79368 Plummers Creek Dr, Yulee, Florida |
| Authorized Official Name and Position | Ebony Conley (OWNER) |
| Authorized Official Contact | 7576480854 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anchored Aba LLC 79368 Plummers Creek Dr Yulee FL 32097-2674 Ph: (757) 648-0854 | Anchored Aba LLC 79368 Plummers Creek Dr Yulee FL 32097-2674 Ph: (757) 648-0854 |
| NPI Number | 1437966280 |
|---|---|
| Provider Enumeration Date | 12/16/2024 |
| Last Update Date | 12/16/2024 |
| Certification Date | 12/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437966280 | NPI | - | NPPES |
| 113058400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | () | Primary |
| 106E00000X | Assistant Behavior Analyst | () | Secondary |
| 106S00000X | Behavior Technician | () | Secondary |
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