| By Your Side | |
|
3070 Business Park Dr Ste B Norcross GA 30071-1428 | |
| (770) 884-1050 | |
| (770) 884-1051 |
| Full Name | By Your Side |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3070 Business Park Dr Ste B, Norcross, Georgia |
| Authorized Official Name and Position | Matthew Sullivan (CFO) |
| Authorized Official Contact | 7708841050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| By Your Side 3070 Business Park Dr Ste B Norcross GA 30071-1428 Ph: (770) 884-1050 | By Your Side 3070 Business Park Dr Ste B Norcross GA 30071-1428 Ph: (770) 884-1050 |
| NPI Number | 1003469420 |
|---|---|
| Provider Enumeration Date | 07/24/2019 |
| Last Update Date | 11/23/2020 |
| Certification Date | 11/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003469420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
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