Organization
EXCELLENCE NOIRE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARIUS COOPER RBT (CEO)
(607) 345-1321
Entity
Organization
Contact information
Practice address
100 CARRINGTON PARK APT 2104, JONESBORO, GA 30236-2888
(607) 346-1321
Mailing address
100 CARRINGTON PARK APT 2104, JONESBORO, GA 30236-2888
(607) 346-1321
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/09/2023
Last updated
05/09/2023
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