ABA Therapy Center LLC
Organization Active NPI Behavior Analyst · Richmond Hill, GA
NPI 1811316698 · NPPES record last updated Apr 9, 2014
Key facts
- NPI
- 1811316698
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-13-12747
- Legal business name
- ABA THERAPY CENTER LLC
- Practice address
- 10164 Ford Ave Ste D
Richmond Hill, GA 31324-3948 - Phone
- (912) 459-9999
- Fax
- (912) 445-0023
- NPI assigned
- Apr 9, 2014
- Organization subpart
- No
Authorized official
- Name
- Mr. William S Tully
- Title
- Administrative Director
- Phone
- (912) 459-9999
Practitioners 8
-
Lakelyn June Luke, BCBA
-
Rachel Miller, BCBA
-
Garland Summers, QASP
-
Sally M Way-Tully, MA, BCBA
-
Megan Lee Acosta, BCBA
National Provider Directory
Locations
10164 Ford Ave
Ste D
Richmond Hill, GA 31324
Phone (912) 459-9999
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst |
103K00000X | 1-13-12747 | Yes |
Addresses
Primary practice location
10164 Ford Ave Ste D
Richmond Hill, GA 31324-3948
Mailing address
10164 Ford Ave Ste D
Richmond Hill, GA 31324-3948
Phone (912) 459-9999
Other names
- ABA Therapy Center
Other providers in Richmond Hill, GA
- Maryam Abdelghani
- Mohammed Anwar Sherif Abdelsaid
- Nadine Acevedo
- Ach Winn-Ft Stewart
- Ach Winn-Ft Stewart
All providers in Richmond Hill, GA · Behavior Analyst in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.