| NPI | 1720408883 |
|---|---|
| Doing Business As | NBA LLC |
| Entity Type | Organization |
| Authorized Contact | EVETTE COLE Practice Manager 706-823-5275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: VA 0810004950) |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2014-04-16 |