Provider Demographics
NPI:1215708516
Name:GG ABA SERVICES
Entity type:Organization
Organization Name:GG ABA SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:SONYA
Authorized Official - Middle Name:E
Authorized Official - Last Name:ALLICOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-409-4208
Mailing Address - Street 1:3410 QUINN RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30039-4467
Mailing Address - Country:US
Mailing Address - Phone:678-409-4208
Mailing Address - Fax:
Practice Address - Street 1:3410 QUINN RIDGE DR
Practice Address - Street 2:
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30039-4467
Practice Address - Country:US
Practice Address - Phone:678-409-4208
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-15
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty