Independence Behavior Solutions | |
930 Rushing St Richmond Hill GA 31324-6435 | |
(931) 252-0040 | |
Not Available |
Full Name | Independence Behavior Solutions |
---|---|
Speciality | Community/behavioral Health |
Location | 930 Rushing St, Richmond Hill, Georgia |
Authorized Official Name and Position | Jeremy Randall Holt (BCBA) |
Authorized Official Contact | 9312520040 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Independence Behavior Solutions 930 Rushing St Richmond Hill GA 31324-6435 Ph: (931) 252-0040 | Independence Behavior Solutions 930 Rushing St Richmond Hill GA 31324-6435 Ph: (931) 252-0040 |
NPI Number | 1649744525 |
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Provider Enumeration Date | 01/14/2019 |
Last Update Date | 01/14/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649744525 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
252Y00000X | Early Intervention Provider Agency | (* (Not Available)) | Secondary |
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