NPI 1235769209 · live from the CMS NPI Registry
Abc Behavioral Therapy
Behavior Analyst in Dublin, GA. National Provider Identifier 1235769209, active.
NPI record
| NPI | 1235769209 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 816 Tanglewood Cir, Dublin, GA 31021 |
| Practice phone | 478-279-7214 |
| Enumerated | January 18, 2020 |
| Last updated | January 30, 2024 |
| Authorized official | Charles Wood, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.