| Rays Of Light Aba Llc | |
|
268 Crystal Creek Ln Basement Dallas GA 30157 | |
| (678) 757-5841 | |
| Not Available |
| Full Name | Rays Of Light Aba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 268 Crystal Creek Ln Basement, Dallas, Georgia |
| Authorized Official Name and Position | William Pagel (MEMBER) |
| Authorized Official Contact | 6787575841 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rays Of Light Aba Llc 268 Crystal Creek Ln Basement Dallas GA 30157 Ph: (678) 757-5841 | Rays Of Light Aba Llc 268 Crystal Creek Ln Basement Dallas GA 30157 Ph: (678) 757-5841 |
| NPI Number | 1093491045 |
|---|---|
| Provider Enumeration Date | 06/26/2023 |
| Last Update Date | 06/26/2023 |
| Certification Date | 06/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093491045 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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