| Infinite Sky Llc | |
|
104 Green Tree Ct Dacula GA 30019-1334 | |
| (732) 309-7319 | |
| Not Available |
| Full Name | Infinite Sky Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 104 Green Tree Ct, Dacula, Georgia |
| Authorized Official Name and Position | Chanel Rogers (OWNER) |
| Authorized Official Contact | 7323097319 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Infinite Sky Llc 104 Green Tree Ct Dacula GA 30019-1334 Ph: () - | Infinite Sky Llc 104 Green Tree Ct Dacula GA 30019-1334 Ph: (732) 309-7319 |
| NPI Number | 1003687351 |
|---|---|
| Provider Enumeration Date | 01/15/2024 |
| Last Update Date | 01/15/2024 |
| Certification Date | 01/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003687351 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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