| Intellistars Therapy | |
|
3340 Peachtree Rd Ne Ste 1800 Atlanta GA 30326-1064 | |
| (248) 770-3658 | |
| Not Available |
| Full Name | Intellistars Therapy |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3340 Peachtree Rd Ne Ste 1800, Atlanta, Georgia |
| Authorized Official Name and Position | Miriam Greenwald (DIRECTOR) |
| Authorized Official Contact | 2487703658 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intellistars Therapy 13 Shenandoah Dr Lakewood NJ 08701-4979 Ph: (248) 770-3658 | Intellistars Therapy 3340 Peachtree Rd Ne Ste 1800 Atlanta GA 30326-1064 Ph: (248) 770-3658 |
| NPI Number | 1790355618 |
|---|---|
| Provider Enumeration Date | 07/01/2021 |
| Last Update Date | 11/04/2021 |
| Certification Date | 11/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790355618 | NPI | - | NPPES |
| 0450671179 | Other | NJ | STATE OF NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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