| NPI | 1730143553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA DESANTIS Office Manager 770-212-2170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103T00000X Psychologist |
| 225100000X Physical Therapist (Licence: GA PT003833) | |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: GA OT 004293) | |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: GA GAOT001717) | |
| 235Z00000X Speech-Language Pathologist, (Licence: GA SLP003992) | |
| 235Z00000X Speech-Language Pathologist, (Licence: GA SLP005806) | |
| 235Z00000X Speech-Language Pathologist, (Licence: GA SLP006528) | |
| 235Z00000X Speech-Language Pathologist, (Licence: GA SLP 06551) | |
| 235Z00000X Speech-Language Pathologist, (Licence: GA SLP 006556) | |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2025-02-18 |