Pinnacle Autism Services Llc | |
1646 Salem Woods Dr Se Apt A Conyers GA 30013-2323 | |
(678) 992-3097 | |
Not Available |
Full Name | Pinnacle Autism Services Llc |
---|---|
Speciality | Behavior Analyst |
Location | 1646 Salem Woods Dr Se Apt A, Conyers, Georgia |
Authorized Official Name and Position | Tiffany Wheeler (OWNER) |
Authorized Official Contact | 6789923097 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Pinnacle Autism Services Llc 1646 Salem Woods Dr Se Apt A Conyers GA 30013-2323 Ph: () - | Pinnacle Autism Services Llc 1646 Salem Woods Dr Se Apt A Conyers GA 30013-2323 Ph: (678) 992-3097 |
NPI Number | 1831716497 |
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Provider Enumeration Date | 06/30/2020 |
Last Update Date | 06/30/2020 |
Certification Date | 06/30/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831716497 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
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