Fbtc Transitional Sub, LLC

NPI #1346969755 in Rincon, Georgia

Provider Information

NPI Number: 1346969755
Entity Type: Organization
Organization Name: Fbtc Transitional Sub, LLC
Primary Specialty: Behavior Analyst
Enumeration Date: Aug 26, 2022
Last Updated: Jan 13, 2025

Practice Location

Address: 613 TOWNE PARK DR W
City: Rincon
State: Georgia
ZIP Code: 31326-5182
Phone: (508) 521-2200

Authorized Official

Name: MARY PATRICIA RODENBERG-ROBERTS
Title: VP& SR. ASSISTANT GENERAL COUNSEL
Phone: (952) 836-2234

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X
Behavior Analyst	103K00000X	Primary

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