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NPI Code Detail

MEDICARE: APEX ABA THERAPY GA LLC

MEDICARE: APEX ABA THERAPY GA 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
1106S00000XBehavior Technician
2103K00000XBehavior Analyst

General Provider Information

NPI Number : 1366215162
Entity Type Code : Organization
Provider Name (Legal Business Name) : APEX ABA THERAPY GA LLC
Provider Business Mailing Address
First Line : 1500 AVENUE OF THE STATES STE 400
Second Line :
City : LAKEWOOD
State : NJ
Zip : 08701-4792
Country : US
Telephone Number : 732-534-3101
Fax Number :
Provider Business Practice Location Address
First Line : 3372 PEACHTREE RD NE STE 115
Second Line :
City : ATLANTA
State : GA
Zip : 30326-1963
Country : US
Telephone Number : 732-534-3101
Fax Number : 732-534-3119
Authorized Official
Title or Position : DIRECTOR
Name : SHIMON EHRMAN
Credential :
Telephone Number : 732-534-3101
Provider Enumeration Date : 11/02/2023
Last Update Date : 06/27/2024

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Directions to “APEX ABA THERAPY GA LLC ” Practice Location

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