| NPI | 1871464594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEIGH DOMINGUEZ Founder 470-876-8668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 207Q00000X Family Medicine | |
| 2080P0006X Pediatrics Developmental - Behavioral Pediatrics | |
| 2080P0008X Pediatrics Neurodevelopmental Disabilities | |
| 2084B0040X Psychiatry & Neurology Behavioral Neurology & Neuropsychiatry | |
| 221700000X Art Therapist | |
| 363A00000X Physician Assistant | |
| 103TM1800X Psychologist Mental Retardation & Developmental Disabilities | |
| 1835P0200X Pharmacist Pediatrics | |
| 104100000X Social Worker | |
| 106H00000X Marriage & Family Therapist | |
| 133N00000X Nutritionist | |
| 171M00000X Case Manager/Care Coordinator | |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2025-09-16 |
| Last Update Date | 2025-09-16 |