Maha Abdalla
Individual provider Active NPI Behavior Analyst · Augusta, GA
NPI 1972266518 · NPPES record last updated May 3, 2022
Key facts
- NPI
- 1972266518
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- RBT-21-169855 (GA)
- Practice address
- 1212 Augusta West Pkwy Ste 1B
Augusta, GA 30909-1808 - Phone
- (706) 826-2770
- Fax
- (706) 826-2771
- NPI assigned
- Oct 20, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-21-169855 | GA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shawn Bohanan Behavioral Consultation, LLC | Current |
Accepting new patients |
Locations
1212 Augusta West Pkwy
Ste 1B
Augusta, GA 30909
Phone (706) 826-2770
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Behavior Analyst | 103K00000X | RBT-21-169855 | GA | Yes |
Addresses
Primary practice location
1212 Augusta West Pkwy Ste 1B
Augusta, GA 30909-1808
Mailing address
1212 Augusta West Pkwy Ste 1B
Augusta, GA 30909-1808
Phone (706) 826-2770
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@launchtherapycenter.com |
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 3, 2022. 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.