Organization
PEACHTREE AUTISM SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WHITNEY BOLLE M.A., BCBA (EXECUTIVE DIRECTOR)
(470) 223-8123
Entity
Organization
Contact information
Practice address
1425 MILE POST DR, DUNWOODY, GA 30338-4745
(470) 223-8123
Mailing address
1425 MILE POST DR, DUNWOODY, GA 30338-4745
(470) 223-8123
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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