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3736 Executive Center Dr Augusta GA 30907-2360 | |
| (706) 426-4200 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3736 Executive Center Dr, Augusta, Georgia |
| Authorized Official Name and Position | Allan John Soto (CEO) |
| Authorized Official Contact | 7064264200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3736 Executive Center Dr Suite B Augusta GA 30907-2360 Ph: (706) 426-4200 | 3736 Executive Center Dr Augusta GA 30907-2360 Ph: (706) 426-4200 |
| NPI Number | 1003281023 |
|---|---|
| Provider Enumeration Date | 12/02/2015 |
| Last Update Date | 12/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003281023 | NPI | - | NPPES |
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