| Kp Behaviors Options Llc | |
|
140 Roscommon Ct Tyrone GA 30290-1879 | |
| (470) 776-4223 | |
| Not Available |
| Full Name | Kp Behaviors Options Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 140 Roscommon Ct, Tyrone, Georgia |
| Authorized Official Name and Position | Genela Gissel Vallejo De Peter (ABA THERAPY) |
| Authorized Official Contact | 4707764223 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kp Behaviors Options Llc 140 Roscommon Ct Tyrone GA 30290-1879 Ph: (470) 776-4223 | Kp Behaviors Options Llc 140 Roscommon Ct Tyrone GA 30290-1879 Ph: (470) 776-4223 |
| NPI Number | 1356848360 |
|---|---|
| Provider Enumeration Date | 04/07/2018 |
| Last Update Date | 04/07/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356848360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (Georgia) | Primary |
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