Organization
THE MINDNEST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MADISON HATHAWAY BCBA (OWNER)
(248) 812-6251
Entity
Organization
Contact information
Practice address
3849 GREENBROOK DR, DOUGLASVILLE, GA 30135-2771
(248) 812-6251
Mailing address
3849 GREENBROOK DR, DOUGLASVILLE, GA 30135-2771
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/23/2026
Last updated
04/23/2026
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