| Fairclough Behavior Services Llc | |
|
3852 Miranda Ct Suwanee GA 30024-8670 | |
| (770) 608-7317 | |
| Not Available |
| Full Name | Fairclough Behavior Services Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3852 Miranda Ct, Suwanee, Georgia |
| Authorized Official Name and Position | Jaun Paul Fairclough (OWNER/BCBA) |
| Authorized Official Contact | 7706087317 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairclough Behavior Services Llc 3852 Miranda Ct Suwanee GA 30024-8670 Ph: (770) 608-7317 | Fairclough Behavior Services Llc 3852 Miranda Ct Suwanee GA 30024-8670 Ph: (770) 608-7317 |
| NPI Number | 1568932804 |
|---|---|
| Provider Enumeration Date | 11/29/2018 |
| Last Update Date | 03/28/2024 |
| Certification Date | 03/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568932804 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 251C00000X | Day Training, Developmentally Disabled Services | (* (Not Available)) | Secondary |
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