| Pivotal Behavior Aba, LLC | |
|
308 Christian Ct Hampton GA 30228-2890 | |
| (470) 737-5755 | |
| Not Available |
| Full Name | Pivotal Behavior Aba, LLC |
|---|---|
| Speciality | Behavior Analyst |
| Location | 308 Christian Ct, Hampton, Georgia |
| Authorized Official Name and Position | Donnica Conway-strawder (OWNER) |
| Authorized Official Contact | 4707375755 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pivotal Behavior Aba, LLC 308 Christian Ct Hampton GA 30228-2890 Ph: (470) 737-5755 | Pivotal Behavior Aba, LLC 308 Christian Ct Hampton GA 30228-2890 Ph: (470) 737-5755 |
| NPI Number | 1508521782 |
|---|---|
| Provider Enumeration Date | 11/03/2021 |
| Last Update Date | 11/03/2021 |
| Certification Date | 11/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508521782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | () | Primary |
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