Garden Of Genius Aba Llc | |
4966 Brookwood Pl Byram MS 39272-5788 | |
(601) 968-2689 | |
Not Available |
Full Name | Garden Of Genius Aba Llc |
---|---|
Speciality | Behavior Analyst |
Location | 4966 Brookwood Pl, Byram, Mississippi |
Authorized Official Name and Position | Alawna A Burrell (OWNER) |
Authorized Official Contact | 6019682689 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Garden Of Genius Aba Llc 4966 Brookwood Pl Byram MS 39272-5788 Ph: (601) 968-2689 | Garden Of Genius Aba Llc 4966 Brookwood Pl Byram MS 39272-5788 Ph: (601) 968-2689 |
NPI Number | 1477203743 |
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Provider Enumeration Date | 03/28/2022 |
Last Update Date | 03/28/2022 |
Certification Date | 03/28/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477203743 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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