| Artistic Legends | |
|
2217 Roswell Rd Ste 100 Marietta GA 30062-2957 | |
| (404) 406-1389 | |
| Not Available |
| Full Name | Artistic Legends |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2217 Roswell Rd Ste 100, Marietta, Georgia |
| Authorized Official Name and Position | Kenisha Mays (OWNER) |
| Authorized Official Contact | 4044061389 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Artistic Legends 2146 Roswell Rd Ste 108 Pmb 510 Marietta GA 30062 Ph: (404) 406-1389 | Artistic Legends 2217 Roswell Rd Ste 100 Marietta GA 30062-2957 Ph: (404) 406-1389 |
| NPI Number | 1740059211 |
|---|---|
| Provider Enumeration Date | 12/26/2023 |
| Last Update Date | 12/26/2023 |
| Certification Date | 12/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740059211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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