MEDICARE: PRIORITIES ABA, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	106E00000X	Assistant Behavior Analyst
2	106S00000X	Behavior Technician
3	103T00000X	Psychologist
4	103TB0200X	Cognitive & Behavioral Psychologist
5	103TM1800X	Intellectual & Developmental Disabilities Psychologist
6	103K00000X	Behavior Analyst

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942351234
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRIORITIES ABA, PLLC

Provider Business Mailing Address
First Line	:	308 GREENVILLE BLVD SE STE B1
Second Line	:
City	:	GREENVILLE
State	:	NC
Zip	:	27858-5758
Country	:	US
Telephone Number	:	252-341-4192
Fax Number	:	866-309-9297

Provider Business Practice Location Address
First Line	:	308 GREENVILLE BLVD SE STE B1
Second Line	:
City	:	GREENVILLE
State	:	NC
Zip	:	27858-5758
Country	:	US
Telephone Number	:	252-341-4192
Fax Number	:	866-309-9297

Authorized Official
Title or Position	:	OWNER, BEHAVIORAL CONSULTANT
Name	:	MRS. APPLE BOYCE
Credential	:	MA HSP-PA BCBA
Telephone Number	:	252-341-4192

Provider Enumeration Date	:	01/15/2007
Last Update Date	:	01/06/2017

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