Kingz Court Autism Center | |
190 Sunderland Cir Fayetteville GA 30215-5253 | |
(609) 501-6730 | |
Not Available |
Full Name | Kingz Court Autism Center |
---|---|
Speciality | Behavior Analyst |
Location | 190 Sunderland Cir, Fayetteville, Georgia |
Authorized Official Name and Position | Jeromy Jerell King (CEO) |
Authorized Official Contact | 6095016730 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kingz Court Autism Center 190 Sunderland Cir Fayetteville GA 30215-5253 Ph: (609) 501-6730 | Kingz Court Autism Center 190 Sunderland Cir Fayetteville GA 30215-5253 Ph: (609) 501-6730 |
NPI Number | 1083208458 |
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Provider Enumeration Date | 02/25/2021 |
Last Update Date | 03/02/2021 |
Certification Date | 03/02/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083208458 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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