| Smiley Face Behavioral Therapy Llc | |
|
805 Donington Cir Lawrenceville GA 30045-3579 | |
| (770) 371-9984 | |
| Not Available |
| Full Name | Smiley Face Behavioral Therapy Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 805 Donington Cir, Lawrenceville, Georgia |
| Authorized Official Name and Position | Chantelle Fuller (BCBA) |
| Authorized Official Contact | 7703719984 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smiley Face Behavioral Therapy Llc 805 Donington Cir Lawrenceville GA 30045-3579 Ph: (770) 371-9984 | Smiley Face Behavioral Therapy Llc 805 Donington Cir Lawrenceville GA 30045-3579 Ph: (770) 371-9984 |
| NPI Number | 1427691732 |
|---|---|
| Provider Enumeration Date | 10/21/2019 |
| Last Update Date | 10/21/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427691732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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