| Promoting Independence Behavioral Therapy Llc | |
|
316 Tuxedo Dr Thomasville GA 31792-6763 | |
| (850) 728-1853 | |
| (833) 252-3318 |
| Full Name | Promoting Independence Behavioral Therapy Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 316 Tuxedo Dr, Thomasville, Georgia |
| Authorized Official Name and Position | Taylor Ferguson (OWNER) |
| Authorized Official Contact | 8507281853 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Promoting Independence Behavioral Therapy Llc 316 Tuxedo Dr Thomasville GA 31792-6763 Ph: (850) 728-1853 | Promoting Independence Behavioral Therapy Llc 316 Tuxedo Dr Thomasville GA 31792-6763 Ph: (850) 728-1853 |
| NPI Number | 1760092852 |
|---|---|
| Provider Enumeration Date | 08/04/2020 |
| Last Update Date | 08/04/2020 |
| Certification Date | 08/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760092852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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