Organization
MLG BEHAVIOR THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONAS ALEXANDER JENKINS (OWNER)
(404) 202-8492
Entity
Organization
Contact information
Practice address
1030 BROOKDALE DR, EAST POINT, GA 30344-2811
(404) 202-8492
Mailing address
1030 BROOKDALE DR, EAST POINT, GA 30344-2811
(404) 202-8492
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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