| The Conner Group For Pediatric Therapies, Llc | |
|
218 Central Ave N Tifton GA 31794-4345 | |
| (229) 396-5596 | |
| (229) 396-4971 |
| Full Name | The Conner Group For Pediatric Therapies, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 218 Central Ave N, Tifton, Georgia |
| Authorized Official Name and Position | Teresa Conner (BOARD CERTIFIED BEHAVIOR ANALYST) |
| Authorized Official Contact | 2293198910 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Conner Group For Pediatric Therapies, Llc 218 Central Ave N Tifton GA 31794-4345 Ph: (229) 396-5596 | The Conner Group For Pediatric Therapies, Llc 218 Central Ave N Tifton GA 31794-4345 Ph: (229) 396-5596 |
| NPI Number | 1952920001 |
|---|---|
| Provider Enumeration Date | 04/09/2020 |
| Last Update Date | 04/09/2020 |
| Certification Date | 04/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952920001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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