Radiant Minds Aba Llc | |
481 Elma G Miles Pkwy Ste B Hinesville GA 31313-4004 | |
(808) 284-7328 | |
(912) 221-3085 |
Full Name | Radiant Minds Aba Llc |
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Speciality | Behavior Analyst |
Location | 481 Elma G Miles Pkwy Ste B, Hinesville, Georgia |
Authorized Official Name and Position | Tyler Taufer (CO-CEO) |
Authorized Official Contact | 8082847328 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Radiant Minds Aba Llc 103 W General Screven Way Ste G Pmb 1098 Hinesville GA 31313-2881 Ph: (808) 284-7328 | Radiant Minds Aba Llc 481 Elma G Miles Pkwy Ste B Hinesville GA 31313-4004 Ph: (808) 284-7328 |
NPI Number | 1316638018 |
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Provider Enumeration Date | 05/15/2023 |
Last Update Date | 11/09/2023 |
Certification Date | 10/30/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316638018 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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