| Aba Depot Llc | |
|
1513 Heritage Ln Florence SC 29505-3141 | |
| (843) 799-0076 | |
| (800) 557-0208 |
| Full Name | Aba Depot Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1513 Heritage Ln, Florence, South Carolina |
| Authorized Official Name and Position | Spears Beckham (OWNER) |
| Authorized Official Contact | 8437990076 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aba Depot Llc 1513 Heritage Ln Florence SC 29505-3141 Ph: (843) 799-0076 | Aba Depot Llc 1513 Heritage Ln Florence SC 29505-3141 Ph: (843) 799-0076 |
| NPI Number | 1003248287 |
|---|---|
| Provider Enumeration Date | 07/30/2013 |
| Last Update Date | 03/29/2024 |
| Certification Date | 03/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003248287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | BACB # 1-11-8879 (South Carolina) | Primary |
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