| Star Autism Services, Llc | |
|
205 Waterwood Bnd Peachtree City GA 30269-1718 | |
| (323) 420-9235 | |
| (470) 241-1167 |
| Full Name | Star Autism Services, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 205 Waterwood Bnd, Peachtree City, Georgia |
| Authorized Official Name and Position | Chrisa Gamez (BEHAVIOR ANALYST) |
| Authorized Official Contact | 4704302571 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Star Autism Services, Llc 205 Waterwood Bnd Peachtree City GA 30269-1718 Ph: (470) 430-2571 | Star Autism Services, Llc 205 Waterwood Bnd Peachtree City GA 30269-1718 Ph: (323) 420-9235 |
| NPI Number | 1669111639 |
|---|---|
| Provider Enumeration Date | 05/30/2022 |
| Last Update Date | 06/06/2022 |
| Certification Date | 06/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669111639 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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