| Safe Haven Aba Llc | |
|
1624 Jersey Dr Stockbridge GA 30281-6545 | |
| (706) 975-6057 | |
| Not Available |
| Full Name | Safe Haven Aba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1624 Jersey Dr, Stockbridge, Georgia |
| Authorized Official Name and Position | Karol Short (BOARD CERTIFIED BEHAVIOR ANALYST) |
| Authorized Official Contact | 7069756057 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Safe Haven Aba Llc 1624 Jersey Dr Stockbridge GA 30281-6545 Ph: (706) 975-6057 | Safe Haven Aba Llc 1624 Jersey Dr Stockbridge GA 30281-6545 Ph: (706) 975-6057 |
| NPI Number | 1891661542 |
|---|---|
| Provider Enumeration Date | 10/10/2025 |
| Last Update Date | 10/10/2025 |
| Certification Date | 10/10/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891661542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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