| Peachtree Autism Services Llc | |
|
1425 Mile Post Dr Dunwoody GA 30338-4745 | |
| (470) 223-8123 | |
| Not Available |
| Full Name | Peachtree Autism Services Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1425 Mile Post Dr, Dunwoody, Georgia |
| Authorized Official Name and Position | Whitney Bolle (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4702238123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peachtree Autism Services Llc 1425 Mile Post Dr Dunwoody GA 30338-4745 Ph: (470) 223-8123 | Peachtree Autism Services Llc 1425 Mile Post Dr Dunwoody GA 30338-4745 Ph: (470) 223-8123 |
| NPI Number | 1205383627 |
|---|---|
| Provider Enumeration Date | 09/01/2016 |
| Last Update Date | 09/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205383627 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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