Individual
AMY JINADU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
392 MAXHAM RD STE 200, AUSTELL, GA 30168-5538
(404) 721-1888
Mailing address
392 MAXHAM RD STE 200, AUSTELL, GA 30168-5538
(404) 721-1888
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
11833158
MA
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
06/08/2017
Last updated
03/25/2020
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