| The Behavior Placellc | |
|
5219 Kings Wood Ln King George VA 22485-5612 | |
| (912) 266-8686 | |
| (866) 764-2841 |
| Full Name | The Behavior Placellc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5219 Kings Wood Ln, King George, Virginia |
| Authorized Official Name and Position | Laura Trest (OWNER) |
| Authorized Official Contact | 4259490801 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Behavior Placellc 10545 Colerain Rd Saint Marys GA 31558-3720 Ph: () - | The Behavior Placellc 5219 Kings Wood Ln King George VA 22485-5612 Ph: (912) 266-8686 |
| NPI Number | 1013622554 |
|---|---|
| Provider Enumeration Date | 01/19/2023 |
| Last Update Date | 10/22/2024 |
| Certification Date | 10/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013622554 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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