| Tate Aba Llc | |
|
3196 Sr-515 Unit H Blairsville GA 30512 | |
| (706) 920-5038 | |
| (706) 995-6827 |
| Full Name | Tate Aba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3196 Sr-515, Blairsville, Georgia |
| Authorized Official Name and Position | Melanie Lawrence (OWNER) |
| Authorized Official Contact | 7069205038 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tate Aba Llc 1847 Riverside Ridge Dr Hiawassee GA 30546-4767 Ph: (706) 920-5038 | Tate Aba Llc 3196 Sr-515 Unit H Blairsville GA 30512 Ph: (706) 920-5038 |
| NPI Number | 1083437016 |
|---|---|
| Provider Enumeration Date | 11/07/2024 |
| Last Update Date | 11/07/2024 |
| Certification Date | 11/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083437016 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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