Provider Demographics
NPI:1407419302
Name:APPLIED BEHAVIORAL CONNECTIONS INC
Entity Type:Organization
Organization Name:APPLIED BEHAVIORAL CONNECTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GITTY
Authorized Official - Middle Name:
Authorized Official - Last Name:ENDZWEIG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-352-5010
Mailing Address - Street 1:1755 N BROWN RD STE 200
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30043-8196
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1755 N BROWN RD STE 200
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30043-8196
Practice Address - Country:US
Practice Address - Phone:770-800-0891
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-16
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center