Organization
NEURODIVERGENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATURRI TURNER MS, BCBA (BCBA/OWNER)
(224) 422-4187
Entity
Organization
Contact information
Practice address
5167 SHOTWELL ST, WOODSTOCK, GA 30188-6212
(224) 422-4187
Mailing address
5167 SHOTWELL ST, WOODSTOCK, GA 30188-6212
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
09/01/2023
Last updated
09/01/2023
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