# MEBE GEORGIA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720699911
- **Authorized official:** MRS. ABBY BUNT (EXECUTIVE CLINICAL DIRECTOR)
- **Authorized official phone:** (619) 795-9925

## Contact information

- **Practice address:** 2500 DALLAS HWY SW STE 202, MARIETTA, GA 30064-7505
- **Practice address phone:** (619) 795-9925
- **Mailing address:** 8885 RIO SAN DIEGO DR STE 340, SAN DIEGO, CA 92108-1669
- **Mailing address phone:** (619) 795-9925

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | — | NULL | Yes |
| 103K00000X | Behavior Analyst | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 08/12/2020
- **Last updated:** 03/16/2022