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Organization
COASTAL RIPPLE EFFECT LLC
Active
Organization
COASTAL RIPPLE EFFECT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE HERRIN (BCBA)
(847) 922-1475
Entity
Organization
Contact information
Practice address
3372 US HIGHWAY 82, BRUNSWICK, GA 31523-7701
(847) 922-1475
Mailing address
3372 US HIGHWAY 82, BRUNSWICK, GA 31523-7701
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NULL
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/09/2024
Last updated
03/07/2024
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