Organization
I HEART THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIC HOLT M.S. (BEHAVIOR ANALYST)
(901) 598-0190
Entity
Organization
Contact information
Practice address
2611 GILLSVILLE HWY, GAINESVILLE, GA 30507-7940
(901) 598-0190
Mailing address
2611 GILLSVILLE HWY, GAINESVILLE, GA 30507-7940
(901) 598-0190
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/30/2020
Last updated
06/30/2020
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