Prime Behavior Analysts, Llc | |
376 Powder Springs St Suite 130 Marietta GA 30064-3454 | |
(404) 695-3596 | |
(404) 935-5335 |
Full Name | Prime Behavior Analysts, Llc |
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Speciality | Behavior Analyst |
Location | 376 Powder Springs St, Marietta, Georgia |
Authorized Official Name and Position | Meaghan Timko (BEHAVIOR ANALYST/OWNER) |
Authorized Official Contact | 4046953596 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Prime Behavior Analysts, Llc Po Box 126 Marietta GA 30061-0126 Ph: (404) 695-3596 | Prime Behavior Analysts, Llc 376 Powder Springs St Suite 130 Marietta GA 30064-3454 Ph: (404) 695-3596 |
NPI Number | 1003216789 |
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Provider Enumeration Date | 08/29/2014 |
Last Update Date | 08/29/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003216789 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | 1-05-2608 (Florida) | Primary |
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