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 (Licence: GA 1-08-4330) |
Enumeration Date | 2016-04-11 |
Last Update Date | 2016-04-11 |