| Qillawasi Llc | |
|
2043 Weems Rd. Suite C2043 Tucker GA 30084 | |
| (470) 658-9610 | |
| Not Available |
| Full Name | Qillawasi Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2043 Weems Rd., Tucker, Georgia |
| Authorized Official Name and Position | Andres Dargent (CEO) |
| Authorized Official Contact | 4706589610 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Qillawasi Llc 2440 Circlewood Rd Ne Atlanta GA 30345-1950 Ph: (470) 658-9610 | Qillawasi Llc 2043 Weems Rd. Suite C2043 Tucker GA 30084 Ph: (470) 658-9610 |
| NPI Number | 1467108035 |
|---|---|
| Provider Enumeration Date | 02/23/2022 |
| Last Update Date | 02/23/2022 |
| Certification Date | 02/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467108035 | NPI | - | NPPES |
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