| Isnimaro Llc | |
|
927 Heritage Post Ln Grayson GA 30017-7847 | |
| (470) 282-9559 | |
| Not Available |
| Full Name | Isnimaro Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 927 Heritage Post Ln, Grayson, Georgia |
| Authorized Official Name and Position | Barbara Rodriguez Davila (PRINCIPAL EXECUTIVE) |
| Authorized Official Contact | 4702829559 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Isnimaro Llc 927 Heritage Post Ln Grayson GA 30017-7847 Ph: (470) 282-9559 | Isnimaro Llc 927 Heritage Post Ln Grayson GA 30017-7847 Ph: (470) 282-9559 |
| NPI Number | 1699594986 |
|---|---|
| Provider Enumeration Date | 10/04/2024 |
| Last Update Date | 10/04/2024 |
| Certification Date | 10/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699594986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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