Supportive Care Aba Ga LLC

NPI #1023731320 in Newnan, Georgia

Provider Information

NPI Number: 1023731320
Entity Type: Organization
Organization Name: Supportive Care Aba Ga LLC
Primary Specialty: Behavior Analyst
Enumeration Date: Sep 21, 2022
Last Updated: Sep 21, 2022

Practice Location

Address: 15 PERRY ST STE 404
City: Newnan
State: Georgia
ZIP Code: 30263-1918
Phone: (317) 936-1240

Authorized Official

Name: MR. RUBEN KESHERIM
Title: MEMBER
Phone: (317) 936-1240

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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