Organization
SHAPING DREAMS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARICELA FISHER BCBA (CHIEF CLINICAL OFFICER)
(832) 205-5946
Entity
Organization
Contact information
Practice address
74 CREEKFORD XING, DALLAS, GA 30157-2591
(832) 205-5946
Mailing address
74 CREEKFORD XING, DALLAS, GA 30157-2591
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/07/2022
Last updated
08/09/2022
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