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465 Winn Way Ste 130&140 Decatur GA 30030-1753 | |
| (866) 610-0590 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Behavior Analyst |
| Location | 465 Winn Way Ste 130&140, Decatur, Georgia |
| Authorized Official Name and Position | Jason Owen (CEO) |
| Authorized Official Contact | 4708166449 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
300 International Pkwy Ste 200 Lake Mary FL 32746-5028 Ph: (470) 816-6449 | 465 Winn Way Ste 130&140 Decatur GA 30030-1753 Ph: (866) 610-0590 |
| NPI Number | 1285287938 |
|---|---|
| Provider Enumeration Date | 07/22/2019 |
| Last Update Date | 11/07/2022 |
| Certification Date | 11/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285287938 | NPI | - | NPPES |
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