| Garden Of Genius Aba Llc | |
|
504 Castaway Cir Brandon MS 39047-1203 | |
| (601) 968-2689 | |
| Not Available |
| Full Name | Garden Of Genius Aba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 504 Castaway Cir, Brandon, Mississippi |
| Authorized Official Name and Position | Alawna A Burrell (OWNER) |
| Authorized Official Contact | 6019682689 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Garden Of Genius Aba Llc 504 Castaway Cir Brandon MS 39047-1203 Ph: (601) 968-2689 | Garden Of Genius Aba Llc 504 Castaway Cir Brandon MS 39047-1203 Ph: (601) 968-2689 |
| NPI Number | 1477203743 |
|---|---|
| Provider Enumeration Date | 03/28/2022 |
| Last Update Date | 10/15/2024 |
| Certification Date | 10/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477203743 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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