Provider Demographics
NPI:1861187551
Name:GOOD CARE ABA THERAPY CONSULTING LLC
Entity type:Organization
Organization Name:GOOD CARE ABA THERAPY CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:CALEB
Authorized Official - Middle Name:KOJO
Authorized Official - Last Name:OFORI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:177-444-1003
Mailing Address - Street 1:5905 ATLANTA HIGHWAY SUITE
Mailing Address - Street 2:SUITE 101 PMB 5102
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30004
Mailing Address - Country:US
Mailing Address - Phone:774-441-0037
Mailing Address - Fax:
Practice Address - Street 1:1130 NIX RD
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30004-2656
Practice Address - Country:US
Practice Address - Phone:177-444-0037
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-07
Last Update Date:2023-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities