| Coastal Ripple Effect Llc | |
|
3372 Us Highway 82 Brunswick GA 31523-7701 | |
| (847) 922-1475 | |
| Not Available |
| Full Name | Coastal Ripple Effect Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3372 Us Highway 82, Brunswick, Georgia |
| Authorized Official Name and Position | Jamie Herrin (BCBA) |
| Authorized Official Contact | 8479221475 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Ripple Effect Llc 3372 Us Highway 82 Brunswick GA 31523-7701 Ph: () - | Coastal Ripple Effect Llc 3372 Us Highway 82 Brunswick GA 31523-7701 Ph: (847) 922-1475 |
| NPI Number | 1790549731 |
|---|---|
| Provider Enumeration Date | 02/09/2024 |
| Last Update Date | 03/07/2024 |
| Certification Date | 03/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790549731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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