Organization · NPI-2

Aba Bedrock Nc LLC

Behavior Analyst · Charlotte, NC

NPI number1396561924
StatusActive
Last updated in NPPESNov 27, 2024

Details

NPI
1396561924
Entity type
Organization (NPI-2)
Legal business name
Aba Bedrock Nc LLC
Organization subpart
No
Enumeration date
Nov 27, 2024
Certification date
Nov 25, 2024
Last updated
Nov 27, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst––Yes

Practice location

525 N Tryon St Ste 1600
Charlotte, NC 28202-0213

Phone 347-461-0983

Mailing address

525 N Tryon St Ste 1600
Charlotte, NC 28202-0213

Phone 347-461-0983

Authorized official

Mayer Kulefsky
Coo
3474610983

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