Organization
LUMI ABA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESTINEY MAYLOR BCBA (BOARD CERTIFIED BEHAVIOR ANALYST)
(404) 388-2190
Entity
Organization
Contact information
Practice address
115 KEYTON DR, COVINGTON, GA 30016-1924
(404) 388-2190
Mailing address
100 POSTMASTER DR UNIT 786, MCDONOUGH, GA 30253-2808
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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