Healthcare Provider Details

I. General information

NPI: 1508774290
Provider Name (Legal Business Name): FIREFLY ABA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 WATERMELON LN.
MAUK GA
31058
US

IV. Provider business mailing address

PSC 414 BOX 387
APO AE
09173-0004
US

V. Phone/Fax

Practice location:
  • Phone: 332-288-8794
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: BRITTNIE HALL
Title or Position: OWNER
Credential: MA, LBA, BCBA
Phone: 332-288-8794