Healthcare Provider Details
I. General information
NPI: 1942351234
Provider Name (Legal Business Name): PRIORITIES ABA, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/15/2007
Last Update Date: 01/06/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
308 GREENVILLE BLVD SE STE B1
GREENVILLE NC
27858-5758
US
IV. Provider business mailing address
308 GREENVILLE BLVD SE STE B1
GREENVILLE NC
27858-5758
US
V. Phone/Fax
- Phone: 252-341-4192
- Fax: 866-309-9297
- Phone: 252-341-4192
- Fax: 866-309-9297
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106E00000X |
| Taxonomy | Assistant Behavior Analyst |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106S00000X |
| Taxonomy | Behavior Technician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103T00000X |
| Taxonomy | Psychologist |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TB0200X |
| Taxonomy | Cognitive & Behavioral Psychologist |
| License Number | |
| License Number State | |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TM1800X |
| Taxonomy | Intellectual & Developmental Disabilities Psychologist |
| License Number | |
| License Number State | |
| # 6 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
APPLE
BOYCE
Title or Position: OWNER, BEHAVIORAL CONSULTANT
Credential: MA HSP-PA BCBA
Phone: 252-341-4192