Alinea Autism Services Llc | |
121 N State St Lyons GA 30436-1336 | |
(912) 245-2585 | |
Not Available |
Full Name | Alinea Autism Services Llc |
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Speciality | Behavior Analyst |
Location | 121 N State St, Lyons, Georgia |
Authorized Official Name and Position | Noah Bullard (OWNER) |
Authorized Official Contact | 9122452585 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Alinea Autism Services Llc 647 Dewey Anderson Rd Lyons GA 30436-4404 Ph: (912) 245-2585 | Alinea Autism Services Llc 121 N State St Lyons GA 30436-1336 Ph: (912) 245-2585 |
NPI Number | 1609575760 |
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Provider Enumeration Date | 02/27/2023 |
Last Update Date | 04/06/2023 |
Certification Date | 04/06/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609575760 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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