| NPI | 1811316698 |
|---|---|
| Former Legal Business Name | ABA THERAPY CENTER |
| Entity Type | Organization |
| Authorized Contact | WILLIAM S TULLY Administrative D Irector 912-459-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-13-12747) |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2014-04-09 |