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Organization
DIVINE INTERVENTION BEHAVIORAL SOLUTIONS LLC
Active
Organization
DIVINE INTERVENTION BEHAVIORAL SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARVIN TIMOTHY BLUE JR. M.S., BCBA (OWNER)
(678) 815-5277
Entity
Organization
Contact information
Practice address
3510 ROSWELL RD NW APT F3, ATLANTA, GA 30305-1219
(678) 815-5277
Mailing address
3510 ROSWELL RD NW APT F3, ATLANTA, GA 30305-1219
(678) 815-5277
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/29/2021
Last updated
11/29/2021
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