| Magnolia Behavior Services, Llc | |
|
1908 College Ave Jackson AL 36545-2415 | |
| (205) 919-2517 | |
| (251) 847-3080 |
| Full Name | Magnolia Behavior Services, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1908 College Ave, Jackson, Alabama |
| Authorized Official Name and Position | Cristie Giles (OWNER) |
| Authorized Official Contact | 2059192517 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Behavior Services, Llc Po Box 415 Chatom AL 36518-0415 Ph: (205) 919-2517 | Magnolia Behavior Services, Llc 1908 College Ave Jackson AL 36545-2415 Ph: (205) 919-2517 |
| NPI Number | 1326850983 |
|---|---|
| Provider Enumeration Date | 01/22/2025 |
| Last Update Date | 01/22/2025 |
| Certification Date | 01/21/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326850983 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
Clubhouse Autism And Developmental Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 College Ave, Jackson, AL 36545 Phone: 251-769-0021 |