Provider Demographics
NPI:1902622749
Name:UWHARRIE ABA
Entity type:Organization
Organization Name:UWHARRIE ABA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:MAULDIN
Authorized Official - Suffix:
Authorized Official - Credentials:MSABA, BCBA, LBA
Authorized Official - Phone:704-438-2683
Mailing Address - Street 1:12356 PRINCE RD
Mailing Address - Street 2:
Mailing Address - City:NORWOOD
Mailing Address - State:NC
Mailing Address - Zip Code:28128-7599
Mailing Address - Country:US
Mailing Address - Phone:704-438-2683
Mailing Address - Fax:
Practice Address - Street 1:12356 PRINCE RD
Practice Address - Street 2:
Practice Address - City:NORWOOD
Practice Address - State:NC
Practice Address - Zip Code:28128-7599
Practice Address - Country:US
Practice Address - Phone:704-438-2683
Practice Address - Fax:704-982-0403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-26
Last Update Date:2024-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty