Organization
GOLDEN TRIANGLE AUTISM CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER LEE ORMAN M.A., BCBA (OWNER)
(662) 295-6015
Entity
Organization
Contact information
Practice address
5721 HIGHWAY 45 ALT S, WEST POINT, MS 39773-0414
(662) 435-5315
Mailing address
630 CURTIS ORMAN RD, WEST POINT, MS 39773-5041
(662) 295-9094
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
11417301
MS
Other
Enumeration date
04/29/2015
Last updated
10/17/2023
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