| Next Gen Aba Llc | |
|
635 Boulevard Ne Atlanta GA 30308-2701 | |
| (786) 852-8078 | |
| Not Available |
| Full Name | Next Gen Aba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 635 Boulevard Ne, Atlanta, Georgia |
| Authorized Official Name and Position | Raudel La O (CEO) |
| Authorized Official Contact | 7868528078 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Next Gen Aba Llc 203 Thorpe Park Duluth GA 30097-5936 Ph: (786) 852-8078 | Next Gen Aba Llc 635 Boulevard Ne Atlanta GA 30308-2701 Ph: (786) 852-8078 |
| NPI Number | 1104613785 |
|---|---|
| Provider Enumeration Date | 04/24/2025 |
| Last Update Date | 05/20/2025 |
| Certification Date | 05/20/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104613785 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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