| North Georgia Autism Center Llc. | |
|
9940 Highway 92 Woodstock GA 30188-6417 | |
| (765) 414-6227 | |
| Not Available |
| Full Name | North Georgia Autism Center Llc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 9940 Highway 92, Woodstock, Georgia |
| Authorized Official Name and Position | Bethany Danielle Oliver Craig (OWNER/DIRECTOR) |
| Authorized Official Contact | 7654146227 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Georgia Autism Center Llc. 9940 Highway 92 Woodstock GA 30188-6417 Ph: (765) 414-6227 | North Georgia Autism Center Llc. 9940 Highway 92 Woodstock GA 30188-6417 Ph: (765) 414-6227 |
| NPI Number | 1578048385 |
|---|---|
| Provider Enumeration Date | 09/27/2018 |
| Last Update Date | 08/11/2022 |
| Certification Date | 08/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578048385 | NPI | - | NPPES |
| 003216615A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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