| Luminations Aba Llc | |
|
2205 Southgate Dr Augusta GA 30906-2315 | |
| (845) 548-7735 | |
| Not Available |
| Full Name | Luminations Aba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2205 Southgate Dr, Augusta, Georgia |
| Authorized Official Name and Position | Seema Drillman (AUTHORIZED OFFICER) |
| Authorized Official Contact | 8455487735 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Luminations Aba Llc 1515 Pine Ste 120 Lakewood NJ 08701 Ph: (845) 548-7735 | Luminations Aba Llc 2205 Southgate Dr Augusta GA 30906-2315 Ph: (845) 548-7735 |
| NPI Number | 1487377214 |
|---|---|
| Provider Enumeration Date | 09/26/2022 |
| Last Update Date | 09/26/2022 |
| Certification Date | 09/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487377214 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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