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6375 Mcginnis Ferry Rd Ste 202 Johns Creek GA 30005-3617 | |
(866) 610-0590 | |
Not Available |
Full Name | |
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Speciality | Behavior Analyst |
Location | 6375 Mcginnis Ferry Rd Ste 202, Johns Creek, 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 |
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300 International Pkwy Ste 200 Lake Mary FL 32746-5028 Ph: () - | 6375 Mcginnis Ferry Rd Ste 202 Johns Creek GA 30005-3617 Ph: (866) 610-0590 |
NPI Number | 1033751888 |
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Provider Enumeration Date | 10/14/2019 |
Last Update Date | 11/02/2022 |
Certification Date | 11/02/2022 |
Identifier | Type | State | Issuer |
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1033751888 | NPI | - | NPPES |
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