| Pledger Behavior Consulting, LLC | |
|
7563 Highway 337 Summerville GA 30747-6101 | |
| (706) 862-2310 | |
| Not Available |
| Full Name | Pledger Behavior Consulting, LLC |
|---|---|
| Speciality | Behavior Analyst |
| Location | 7563 Highway 337, Summerville, Georgia |
| Authorized Official Name and Position | Tyler Wayne Pledger (BOARD CERTIFIED BEHAVIOR ANALYST) |
| Authorized Official Contact | 7065062113 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pledger Behavior Consulting, LLC Po Box 66 Menlo GA 30731-0066 Ph: (706) 506-2113 | Pledger Behavior Consulting, LLC 7563 Highway 337 Summerville GA 30747-6101 Ph: (706) 862-2310 |
| NPI Number | 1740880061 |
|---|---|
| Provider Enumeration Date | 10/27/2020 |
| Last Update Date | 10/27/2020 |
| Certification Date | 10/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740880061 | NPI | - | NPPES |
| 003202635B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | () | Secondary |
| 103K00000X | Behavior Analyst | () | Primary |
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