| Applied Behavior Associates, Llc | |
|
113 Broadleaf Trl Grovetown GA 30813-4061 | |
| (706) 945-2897 | |
| Not Available |
| Full Name | Applied Behavior Associates, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 113 Broadleaf Trl, Grovetown, Georgia |
| Authorized Official Name and Position | Kimberlie Lawrence (FOUNDER/CEO) |
| Authorized Official Contact | 7069452897 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Applied Behavior Associates, Llc 336 Georgia Ave Ste 106 North Augusta SC 29841-3887 Ph: (706) 450-2600 | Applied Behavior Associates, Llc 113 Broadleaf Trl Grovetown GA 30813-4061 Ph: (706) 945-2897 |
| NPI Number | 1588365837 |
|---|---|
| Provider Enumeration Date | 03/14/2023 |
| Last Update Date | 03/14/2023 |
| Certification Date | 03/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588365837 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
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