| NPI | 1821452384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIONNE FEASTER Board Certified Behavior Analyst 404-514-1183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: GA 1-08-4330) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: GA 1-08-4330) |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2016-04-11 |