| Target Management | |
|
201 Wall St Gadsden AL 35904-1940 | |
| (917) 684-4470 | |
| Not Available |
| Full Name | Target Management |
|---|---|
| Speciality | Behavior Technician |
| Location | 201 Wall St, Gadsden, Alabama |
| Authorized Official Name and Position | Ahmose Amexem El (TRUSTEE) |
| Authorized Official Contact | 9176844470 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Target Management 1530 Mcconnell Rd Grayson GA 30017-1376 Ph: (917) 684-4470 | Target Management 201 Wall St Gadsden AL 35904-1940 Ph: (917) 684-4470 |
| NPI Number | 1942820329 |
|---|---|
| Provider Enumeration Date | 04/25/2020 |
| Last Update Date | 04/25/2020 |
| Certification Date | 04/25/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942820329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
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