| Mose And Garrison Siskin Memorial Foundation | |
|
55 Atlanta St Se Ste 399 Marietta GA 30060-1977 | |
| (423) 490-7710 | |
| (423) 490-7750 |
| Full Name | Mose And Garrison Siskin Memorial Foundation |
|---|---|
| Speciality | Behavior Analyst |
| Location | 55 Atlanta St Se Ste 399, Marietta, Georgia |
| Authorized Official Name and Position | Stephanie Cooper-wilkes (DIRECTOR HEALTHCARE ADMINISTRATION) |
| Authorized Official Contact | 4234907727 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mose And Garrison Siskin Memorial Foundation 1101 Carter St Chattanooga TN 37402-5017 Ph: (423) 490-7710 | Mose And Garrison Siskin Memorial Foundation 55 Atlanta St Se Ste 399 Marietta GA 30060-1977 Ph: (423) 490-7710 |
| NPI Number | 1255992319 |
|---|---|
| Provider Enumeration Date | 06/27/2019 |
| Last Update Date | 06/27/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255992319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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