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NPI Code Detail

MEDICARE: HIDDEN TALENTS ABA

MEDICARE: HIDDEN TALENTS ABA
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency
2103K00000XBehavior Analyst

General Provider Information

NPI Number : 1003436684
Entity Type Code : Organization
Provider Name (Legal Business Name) : HIDDEN TALENTS ABA
Provider Business Mailing Address
First Line : 3190 NORTHEAST EXPY NE STE 110
Second Line :
City : ATLANTA
State : GA
Zip : 30341-5323
Country : US
Telephone Number : 404-487-6005
Fax Number :
Provider Business Practice Location Address
First Line : 3190 NORTHEAST EXPY NE STE 110
Second Line :
City : ATLANTA
State : GA
Zip : 30341-5323
Country : US
Telephone Number : 404-487-6005
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : EZRIEL NEUMANN
Credential :
Telephone Number : 404-487-6005
Provider Enumeration Date : 04/23/2020
Last Update Date : 04/09/2024

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