| Refashioned Family | |
|
341 Vinings Vintage Cir Mableton GA 30126-7237 | |
| (816) 210-3127 | |
| Not Available |
| Full Name | Refashioned Family |
|---|---|
| Speciality | Behavior Analyst |
| Location | 341 Vinings Vintage Cir, Mableton, Georgia |
| Authorized Official Name and Position | Carmen Leeann Hughes (BOARD CERTIFIED BEHAVIOR ANALYST) |
| Authorized Official Contact | 8162103127 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Refashioned Family 341 Vinings Vintage Cir Mableton GA 30126-7237 Ph: (816) 210-3127 | Refashioned Family 341 Vinings Vintage Cir Mableton GA 30126-7237 Ph: (816) 210-3127 |
| NPI Number | 1164170080 |
|---|---|
| Provider Enumeration Date | 03/10/2022 |
| Last Update Date | 03/10/2022 |
| Certification Date | 03/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164170080 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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