| Skyline Autism Services, Llc | |
|
1818 Highland Parc Pl Se Marietta GA 30067-2438 | |
| (404) 938-0720 | |
| Not Available |
| Full Name | Skyline Autism Services, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1818 Highland Parc Pl Se, Marietta, Georgia |
| Authorized Official Name and Position | Shavon Haymer (OWNER) |
| Authorized Official Contact | 4049380720 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Skyline Autism Services, Llc 1818 Highland Parc Pl Se Marietta GA 30067-2438 Ph: () - | Skyline Autism Services, Llc 1818 Highland Parc Pl Se Marietta GA 30067-2438 Ph: (404) 938-0720 |
| NPI Number | 1720659287 |
|---|---|
| Provider Enumeration Date | 07/06/2021 |
| Last Update Date | 07/06/2021 |
| Certification Date | 07/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720659287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
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