| Fortify Aba And Consulting Llc | |
|
29 Charlotte St Cameron NC 28326-6326 | |
| (703) 980-4720 | |
| Not Available |
| Full Name | Fortify Aba And Consulting Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 29 Charlotte St, Cameron, North Carolina |
| Authorized Official Name and Position | Lorene Keenan (OWNER) |
| Authorized Official Contact | 7039804720 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fortify Aba And Consulting Llc 29 Charlotte St Cameron NC 28326-6326 Ph: (703) 980-4720 | Fortify Aba And Consulting Llc 29 Charlotte St Cameron NC 28326-6326 Ph: (703) 980-4720 |
| NPI Number | 1003519703 |
|---|---|
| Provider Enumeration Date | 03/23/2023 |
| Last Update Date | 10/09/2025 |
| Certification Date | 10/09/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003519703 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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