| Radiant Minds Aba Llc | |
|
481 Elma G Miles Pkwy Ste B Hinesville GA 31313-4004 | |
| (808) 284-7328 | |
| (912) 221-3085 |
| Full Name | Radiant Minds Aba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 481 Elma G Miles Pkwy Ste B, Hinesville, Georgia |
| Authorized Official Name and Position | Tyler Taufer (CO-CEO) |
| Authorized Official Contact | 8082847328 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Radiant Minds Aba Llc 103 W General Screven Way Ste G Pmb 1098 Hinesville GA 31313-2881 Ph: (808) 284-7328 | Radiant Minds Aba Llc 481 Elma G Miles Pkwy Ste B Hinesville GA 31313-4004 Ph: (808) 284-7328 |
| NPI Number | 1316638018 |
|---|---|
| Provider Enumeration Date | 05/15/2023 |
| Last Update Date | 11/09/2023 |
| Certification Date | 10/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316638018 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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