Organization
INFINITE SKY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANEL ROGERS (OWNER)
(732) 309-7319
Entity
Organization
Contact information
Practice address
104 GREEN TREE CT, DACULA, GA 30019-1334
(732) 309-7319
Mailing address
104 GREEN TREE CT, DACULA, GA 30019-1334
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/15/2024
Last updated
01/15/2024
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