| Behavior Momentum Llc | |
|
113 Acadia Dr Nw Rome GA 30165-1850 | |
| (706) 676-6689 | |
| Not Available |
| Full Name | Behavior Momentum Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 113 Acadia Dr Nw, Rome, Georgia |
| Authorized Official Name and Position | Jennifer Michelle Detherage (BCBA) |
| Authorized Official Contact | 7066766689 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavior Momentum Llc 113 Acadia Dr Nw Rome GA 30165-1850 Ph: (706) 676-6689 | Behavior Momentum Llc 113 Acadia Dr Nw Rome GA 30165-1850 Ph: (706) 676-6689 |
| NPI Number | 1033816178 |
|---|---|
| Provider Enumeration Date | 02/09/2023 |
| Last Update Date | 02/09/2023 |
| Certification Date | 02/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033816178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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