| Lumi Aba Llc | |
|
115 Keyton Dr Covington GA 30016-1924 | |
| (404) 388-2190 | |
| Not Available |
| Full Name | Lumi Aba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 115 Keyton Dr, Covington, Georgia |
| Authorized Official Name and Position | Destiney Maylor (BOARD CERTIFIED BEHAVIOR ANALYST) |
| Authorized Official Contact | 4043882190 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lumi Aba Llc 100 Postmaster Dr Unit 786 Mcdonough GA 30253-2808 Ph: () - | Lumi Aba Llc 115 Keyton Dr Covington GA 30016-1924 Ph: (404) 388-2190 |
| NPI Number | 1295413904 |
|---|---|
| Provider Enumeration Date | 07/11/2023 |
| Last Update Date | 07/11/2023 |
| Certification Date | 07/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295413904 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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