Healthcare Provider Details
I. General information
NPI: 1376330530
Provider Name (Legal Business Name): TRUE YOU ABA LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/22/2025
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3900 BARRETT DR STE 208
RALEIGH NC
27609-6614
US
IV. Provider business mailing address
14055 CEDAR RD STE 310
SOUTH EUCLID OH
44118-3333
US
V. Phone/Fax
- Phone: 984-375-8783
- Fax:
- Phone: 404-800-4057
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MESHULUM
KLUGMANN
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 984-375-8783