NPI 1265296107 · live from the CMS NPI Registry
Aba Twenty-Nine Eleven LLC
Behavior Analyst in Temple, GA. National Provider Identifier 1265296107, active.
NPI record
| NPI | 1265296107 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 2755 Carrollton Hwy, Temple, GA 30179 |
| Practice phone | 404-275-0514 |
| Enumerated | February 12, 2024 |
| Last updated | February 12, 2024 |
| Authorized official | Kimberly Waldrop, Owner/Bcba |
| Other names | Aba 29:11 |
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.