| Amazingly Uplifted, Llc | |
|
115 Kenninghall Ct Se Smyrna GA 30082-3891 | |
| (678) 744-7045 | |
| Not Available |
| Full Name | Amazingly Uplifted, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 115 Kenninghall Ct Se, Smyrna, Georgia |
| Authorized Official Name and Position | Veronica Crafton (OWNER) |
| Authorized Official Contact | 6785880141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amazingly Uplifted, Llc 2451 Cumberland Pkwy Se Ste 3956 Atlanta GA 30339-6136 Ph: (678) 744-7045 | Amazingly Uplifted, Llc 115 Kenninghall Ct Se Smyrna GA 30082-3891 Ph: (678) 744-7045 |
| NPI Number | 1619485679 |
|---|---|
| Provider Enumeration Date | 01/11/2018 |
| Last Update Date | 12/06/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619485679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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