Organization
SOAR AUTISM CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEREMY RANDALL HOLT BCBA (CEO)
(404) 308-9375
Entity
Organization
Contact information
Practice address
2199 SAGE MOUNTAIN CT SW, MARIETTA, GA 30064-2207
(404) 308-9375
(404) 595-5251
Mailing address
2199 SAGE MOUNTAIN CT SW, MARIETTA, GA 30064-2207
(404) 308-9375
(404) 595-5251
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/02/2023
Last updated
06/02/2023
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