Kp Behaviors Options Llc | |
140 Roscommon Ct Tyrone GA 30290-1879 | |
(470) 776-4223 | |
Not Available |
Full Name | Kp Behaviors Options Llc |
---|---|
Speciality | Behavior Analyst |
Location | 140 Roscommon Ct, Tyrone, Georgia |
Authorized Official Name and Position | Genela Gissel Vallejo De Peter (ABA THERAPY) |
Authorized Official Contact | 4707764223 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kp Behaviors Options Llc 140 Roscommon Ct Tyrone GA 30290-1879 Ph: (470) 776-4223 | Kp Behaviors Options Llc 140 Roscommon Ct Tyrone GA 30290-1879 Ph: (470) 776-4223 |
NPI Number | 1356848360 |
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Provider Enumeration Date | 04/07/2018 |
Last Update Date | 04/07/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356848360 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (Georgia) | Primary |
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