| Integrative Behavior Analysis Llc | |
|
194 Ainsdale Dr Richmond Hill GA 31324-7821 | |
| (607) 621-5676 | |
| Not Available |
| Full Name | Integrative Behavior Analysis Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 194 Ainsdale Dr, Richmond Hill, Georgia |
| Authorized Official Name and Position | Samantha Gosper (OWNER) |
| Authorized Official Contact | 6076215676 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Behavior Analysis Llc 194 Ainsdale Dr Richmond Hill GA 31324-7821 Ph: (607) 621-5676 | Integrative Behavior Analysis Llc 194 Ainsdale Dr Richmond Hill GA 31324-7821 Ph: (607) 621-5676 |
| NPI Number | 1902558968 |
|---|---|
| Provider Enumeration Date | 01/21/2022 |
| Last Update Date | 01/21/2022 |
| Certification Date | 01/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902558968 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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