| Brilliant Minds Aba Llc | |
|
7465 Hightower Cir Cumming GA 30028-1374 | |
| (678) 208-9893 | |
| (435) 608-9376 |
| Full Name | Brilliant Minds Aba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 7465 Hightower Cir, Cumming, Georgia |
| Authorized Official Name and Position | Mara F White (CEO, OWNER) |
| Authorized Official Contact | 6782089893 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brilliant Minds Aba Llc 7465 Hightower Cir Cumming GA 30028-1374 Ph: (678) 208-9893 | Brilliant Minds Aba Llc 7465 Hightower Cir Cumming GA 30028-1374 Ph: (678) 208-9893 |
| NPI Number | 1174103378 |
|---|---|
| Provider Enumeration Date | 04/12/2021 |
| Last Update Date | 02/23/2023 |
| Certification Date | 02/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174103378 | NPI | - | NPPES |
| 003246117 | Medicaid | GA |
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