| Entity - Twig & Sprout, Llc | |
|
13010 Morris Rd Ste 600 Alpharetta GA 30004-5096 | |
| (480) 616-4632 | |
| Not Available |
| Full Name | Entity - Twig & Sprout, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 13010 Morris Rd Ste 600, Alpharetta, Georgia |
| Authorized Official Name and Position | Ooshie Oldham (OWNER) |
| Authorized Official Contact | 4806164632 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Entity - Twig & Sprout, Llc 13010 Morris Rd Ste 600 Alpharetta GA 30004-5096 Ph: (480) 616-4632 | Entity - Twig & Sprout, Llc 13010 Morris Rd Ste 600 Alpharetta GA 30004-5096 Ph: (480) 616-4632 |
| NPI Number | 1013755602 |
|---|---|
| Provider Enumeration Date | 07/17/2024 |
| Last Update Date | 09/04/2024 |
| Certification Date | 09/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013755602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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