| Marin Autism Interventions Llc | |
|
228 Emmanuel Way Ln Webster KY 40176-5037 | |
| (270) 883-5547 | |
| Not Available |
| Full Name | Marin Autism Interventions Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 228 Emmanuel Way Ln, Webster, Kentucky |
| Authorized Official Name and Position | Shannon Priddy-marin (OWNER) |
| Authorized Official Contact | 2708835547 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marin Autism Interventions Llc 228 Emmanuel Way Ln Webster KY 40176-5037 Ph: () - | Marin Autism Interventions Llc 228 Emmanuel Way Ln Webster KY 40176-5037 Ph: (270) 883-5547 |
| NPI Number | 1912592130 |
|---|---|
| Provider Enumeration Date | 03/09/2021 |
| Last Update Date | 02/22/2022 |
| Certification Date | 02/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912592130 | NPI | - | NPPES |
Marin Autism Interventions, Llc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 228 Emmanuel Way Ln, Webster, KY 40176 Phone: 310-560-9270 |