| The Behavior Placellc | |
|
103 Johansen Way Kingsland GA 31548 | |
| (912) 266-8686 | |
| Not Available |
| Full Name | The Behavior Placellc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 103 Johansen Way, Kingsland, Georgia |
| Authorized Official Name and Position | Laura Trest (OWNER/DIRECTOR) |
| Authorized Official Contact | 4259490801 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Behavior Placellc 103 Johansen Way Kingsland GA 31548 Ph: () - | The Behavior Placellc 103 Johansen Way Kingsland GA 31548 Ph: (912) 266-8686 |
| NPI Number | 1629536339 |
|---|---|
| Provider Enumeration Date | 03/12/2019 |
| Last Update Date | 03/12/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629536339 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
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