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2930 Horizon Park Dr Ste D Suwanee GA 30024-7252 | |
| (770) 462-8550 | |
| (470) 322-4355 |
| Full Name | |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2930 Horizon Park Dr Ste D, Suwanee, Georgia |
| Authorized Official Name and Position | Carolyn K. Broner (OWNER) |
| Authorized Official Contact | 7704628550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2339 Meadow Peak Pt Duluth GA 30097-4366 Ph: (770) 462-8550 | 2930 Horizon Park Dr Ste D Suwanee GA 30024-7252 Ph: (770) 462-8550 |
| NPI Number | 1013669845 |
|---|---|
| Provider Enumeration Date | 01/24/2022 |
| Last Update Date | 11/21/2023 |
| Certification Date | 11/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013669845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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