| Mindful Milestones Aba Llc | |
|
1775 Pennsylvania Ave Mcdonough GA 30253-9118 | |
| (561) 529-1742 | |
| Not Available |
| Full Name | Mindful Milestones Aba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1775 Pennsylvania Ave, Mcdonough, Georgia |
| Authorized Official Name and Position | Belle Ile Catherine Buchel (OWNER) |
| Authorized Official Contact | 5615291742 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Milestones Aba Llc 675 Henson Farm Dr Loganville GA 30052-6528 Ph: (561) 529-1742 | Mindful Milestones Aba Llc 1775 Pennsylvania Ave Mcdonough GA 30253-9118 Ph: (561) 529-1742 |
| NPI Number | 1497432371 |
|---|---|
| Provider Enumeration Date | 06/30/2023 |
| Last Update Date | 06/30/2023 |
| Certification Date | 06/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497432371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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