Organization · NPI-2

Abc Behavioral Therapy

Behavior Analyst · Dublin, GA

NPI number1235769209
StatusActive
Last updated in NPPESJan 30, 2024

Details

NPI
1235769209
Entity type
Organization (NPI-2)
Legal business name
Abc Behavioral Therapy
Organization subpart
No
Enumeration date
Jan 18, 2020
Certification date
Jan 30, 2024
Last updated
Jan 30, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst––Yes

Practice location

816 Tanglewood Cir
Dublin, GA 31021-1022

Phone 478-279-7214 · Fax 833-478-1298

Mailing address

816 Tanglewood Cir
Dublin, GA 31021-1022

Other practice locations

1717 Rice Ave
Dublin, GA 31021-3524

Phone 478-279-7214 · Fax 833-478-1298

402 General Courtney Hodges Blvd Unit 202
Perry, GA 31069-3206

Phone 478-343-8896 · Fax 833-478-1298

Authorized official

Charles Dustin Wood
Owner
4782789766

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Behavior Analyst providers in Dublin, GA