Look up the most recent NPI and PECOS records

Choice Aba Autism Services Nc Llc

Community/Behavioral Health

Agencies

8601 Six Forks Rd Ste 400, Raleigh, NC 27615-2965

PECOS Enrollment

Based on the most recent information from CMS, provider Choice Aba Autism Services Nc Llc does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1467131672
Provider Type
Organization
Full Name
Choice Aba Autism Services Nc Llc

Subpart
No
Enumeration Date
7/14/2023
Last Updated
10/14/2023

Contact Information

Practice Location

8601 Six Forks Rd Ste 400, Raleigh, NC 27615-2965

(877) 283-0066

Unlisted Fax

Mailing Location

100 Matawan Rd Ste 325, Matawan, NJ 07747-3911

(732) 385-3300

Unlisted Fax

Authorized Official

Segal, Malky (Member)

(347) 893-1437

Provider Taxonomies

Code	Description	License
Code 251S00000X Primary	Description Community/Behavioral Health Agencies	License Unlisted Issuer

Choice Aba Autism Services Nc Llc

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

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