| Fly Wheel Center Ga Llc | |
|
1600 Riveredge Pkwy Atlanta GA 30328-4697 | |
| (347) 661-6533 | |
| Not Available |
| Full Name | Fly Wheel Center Ga Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1600 Riveredge Pkwy, Atlanta, Georgia |
| Authorized Official Name and Position | Shraga F Waxman (OWNER) |
| Authorized Official Contact | 3476616533 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fly Wheel Center Ga Llc 174 White St Lakewood NJ 08701-4054 Ph: () - | Fly Wheel Center Ga Llc 1600 Riveredge Pkwy Atlanta GA 30328-4697 Ph: (347) 661-6533 |
| NPI Number | 1396571147 |
|---|---|
| Provider Enumeration Date | 09/10/2024 |
| Last Update Date | 09/10/2024 |
| Certification Date | 09/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396571147 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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