| Neurobloom Solutions Aba Llc | |
|
2147 Silver Thorn Ct Lithonia GA 30058-3585 | |
| (470) 698-1976 | |
| Not Available |
| Full Name | Neurobloom Solutions Aba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2147 Silver Thorn Ct, Lithonia, Georgia |
| Authorized Official Name and Position | Philanda Davina-marie Hodges (BOARD CERTIFIED BEHAVIOR ANALYST) |
| Authorized Official Contact | 4706981976 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurobloom Solutions Aba Llc 2147 Silver Thorn Ct Lithonia GA 30058-3585 Ph: (470) 698-1976 | Neurobloom Solutions Aba Llc 2147 Silver Thorn Ct Lithonia GA 30058-3585 Ph: (470) 698-1976 |
| NPI Number | 1013899277 |
|---|---|
| Provider Enumeration Date | 07/21/2025 |
| Last Update Date | 07/21/2025 |
| Certification Date | 07/21/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013899277 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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