MEDICARE: FLOURISH ABA LLC

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
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1194656926
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLOURISH ABA LLC

Provider Business Mailing Address
First Line	:	2011 BROADMOOR WAY
Second Line	:
City	:	FAIRBURN
State	:	GA
Zip	:	30213-2698
Country	:	US
Telephone Number	:	470-473-2672
Fax Number	:

Provider Business Practice Location Address
First Line	:	2011 BROADMOOR WAY
Second Line	:
City	:	FAIRBURN
State	:	GA
Zip	:	30213-2698
Country	:	US
Telephone Number	:	470-473-2672
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	FLORENCE NAMUHORANYE
Credential	:	BCBA
Telephone Number	:	470-473-2672

Provider Enumeration Date	:	05/28/2026
Last Update Date	:	05/28/2026

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Directions to “FLOURISH ABA LLC ” Practice Location

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