Organization
GEORGIA RISING STAR SERVICES
Active
Other names
GA Rising Star Services
Organization subpart
No
Provider details
NPI number
Authorized official
SHANTELLE YVONNETTE LEWIS BCBA (OWNER)
(470) 236-2437
Entity
Organization
Contact information
Practice address
7108 WASHINGTON ST SW STE B, COVINGTON, GA 30014-3417
(470) 236-2437
Mailing address
13152 GREYWOLF LN, COVINGTON, GA 30014-9017
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/24/2025
Last updated
02/28/2025
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