Organization
ESSENTIAL SPEECH AND ABA THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LETICIA HALL (OWNER)
(678) 215-9962
Entity
Organization
Contact information
Practice address
3875 JOHNS CREEK PKWY STE A, SUWANEE, GA 30024-1294
(678) 215-9962
Mailing address
3875 JOHNS CREEK PKWY STE A, SUWANEE, GA 30024-1294
(678) 215-9962
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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