Organization
PROPEL AUTISM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN LEWIS (OWNER)
(718) 864-7291
Entity
Organization
Contact information
Practice address
260 PEACHTREE ST NW STE 2200, ATLANTA, GA 30303-1292
(803) 316-8387
Mailing address
3420 DELAWARE DR, DALZELL, SC 29040-8975
(803) 316-8387
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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