| Total Care Aba Ga LLC | |
|
320 Lanier Ave W Ste 200 Fayetteville GA 30214-7443 | |
| (516) 670-5374 | |
| Not Available |
| Full Name | Total Care Aba Ga LLC |
|---|---|
| Speciality | Behavior Analyst |
| Location | 320 Lanier Ave W Ste 200, Fayetteville, Georgia |
| Authorized Official Name and Position | Ruben Kesherim (FOUNDER) |
| Authorized Official Contact | 7184045355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Total Care Aba Ga LLC 148 Doughty Blvd Ste 260 Inwood NY 11096-2047 Ph: (516) 670-5374 | Total Care Aba Ga LLC 320 Lanier Ave W Ste 200 Fayetteville GA 30214-7443 Ph: (516) 670-5374 |
| NPI Number | 1457930471 |
|---|---|
| Provider Enumeration Date | 04/06/2021 |
| Last Update Date | 04/07/2021 |
| Certification Date | 04/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457930471 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | () | Primary |
| 106E00000X | Assistant Behavior Analyst | () | Secondary |
| 106S00000X | Behavior Technician | () | Secondary |
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