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Organization
MOUNTAINSIDE AUTISM THERAPY, LLC
Active
Organization
MOUNTAINSIDE AUTISM THERAPY, LLC
Active
Other names
Mountainside Autism Therapy, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC SHULTS BCBA (OWNER)
(678) 738-3077
Entity
Organization
Contact information
Practice address
305 MORNING DEW CT, CANTON, GA 30114-5121
(678) 740-3742
Mailing address
305 MORNING DEW CT, CANTON, GA 30114-5121
(678) 740-3742
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/06/2021
Last updated
07/06/2021
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