| Magnolia Milestones Aba Llc | |
|
3618 River Watch Ln Franklinton NC 27525-7051 | |
| (704) 578-1099 | |
| Not Available |
| Full Name | Magnolia Milestones Aba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3618 River Watch Ln, Franklinton, North Carolina |
| Authorized Official Name and Position | Brent Lalas (OWNER) |
| Authorized Official Contact | 7045781099 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Milestones Aba Llc 3618 River Watch Ln Franklinton NC 27525-7051 Ph: (704) 578-1099 | Magnolia Milestones Aba Llc 3618 River Watch Ln Franklinton NC 27525-7051 Ph: (704) 578-1099 |
| NPI Number | 1174380877 |
|---|---|
| Provider Enumeration Date | 02/29/2024 |
| Last Update Date | 02/29/2024 |
| Certification Date | 02/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174380877 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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