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Organization
THE ITD GROUP LLC
Active
Organization
THE ITD GROUP LLC
Active
Other names
The ITD Group LLC
Organization subpart
No
Provider details
NPI number
Authorized official
VEJA CORENE DENNIS ED.S (CEO/ SPECIAL EDUCATOR)
(678) 905-1500
Entity
Organization
Contact information
Practice address
2004 EASTVIEW PKWY, SUITE 105, CONYERS, GA 30013-5770
(678) 905-1500
Mailing address
95 PARTRIDGE DR STE 105, COVINGTON, GA 30016-1185
(678) 905-1500
(978) 374-3908
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
171M00000X
Case Manager/Care Coordinator
—
—
222Q00000X
Developmental Therapist
Primary
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
02/24/2015
Last updated
03/31/2021
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