| Kicklighter Resource Center | |
|
7219 Seawright Dr Savannah GA 31406-2703 | |
| (912) 355-7633 | |
| (912) 355-4206 |
| Full Name | Kicklighter Resource Center |
|---|---|
| Speciality | Behavior Analyst |
| Location | 7219 Seawright Dr, Savannah, Georgia |
| Authorized Official Name and Position | Stacey Davis (CEO/EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9123557633 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kicklighter Resource Center Po Box 13625 Savannah GA 31416-0625 Ph: (912) 355-7633 | Kicklighter Resource Center 7219 Seawright Dr Savannah GA 31406-2703 Ph: (912) 355-7633 |
| NPI Number | 1689802779 |
|---|---|
| Provider Enumeration Date | 06/26/2009 |
| Last Update Date | 05/25/2023 |
| Certification Date | 05/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689802779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
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