| Zac Llc | |
|
1561 Highway 42 N Mcdonough GA 30253-4721 | |
| (470) 620-1522 | |
| Not Available |
| Full Name | Zac Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1561 Highway 42 N, Mcdonough, Georgia |
| Authorized Official Name and Position | Lakredi Tu Alston (CEO) |
| Authorized Official Contact | 4706201522 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Zac Llc 1215 Nottley Dr Locust Grove GA 30248-7080 Ph: (470) 620-1522 | Zac Llc 1561 Highway 42 N Mcdonough GA 30253-4721 Ph: (470) 620-1522 |
| NPI Number | 1720800782 |
|---|---|
| Provider Enumeration Date | 10/30/2024 |
| Last Update Date | 10/30/2024 |
| Certification Date | 10/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720800782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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