| Mlg Behavior Therapy Llc | |
|
1030 Brookdale Dr East Point GA 30344-2811 | |
| (404) 202-8492 | |
| Not Available |
| Full Name | Mlg Behavior Therapy Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1030 Brookdale Dr, East Point, Georgia |
| Authorized Official Name and Position | Jonas Alexander Jenkins (OWNER) |
| Authorized Official Contact | 4042028492 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mlg Behavior Therapy Llc 1030 Brookdale Dr East Point GA 30344-2811 Ph: (404) 202-8492 | Mlg Behavior Therapy Llc 1030 Brookdale Dr East Point GA 30344-2811 Ph: (404) 202-8492 |
| NPI Number | 1376310201 |
|---|---|
| Provider Enumeration Date | 12/11/2023 |
| Last Update Date | 12/11/2023 |
| Certification Date | 12/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376310201 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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