Organization
THE ITD GROUP LLC
Active
Other names
The ITD Group LLC
Organization subpart
No
Provider details
NPI number
Authorized official
VEJA CORENE DENNIS ED.S (CEO/ SPECIAL EDUCATOR)
(678) 905-1500
Entity
Organization
Contact information
Practice address
2004 EASTVIEW PKWY, SUITE 105, CONYERS, GA 30013-5770
(678) 905-1500
Mailing address
95 PARTRIDGE DR STE 105, COVINGTON, GA 30016-1185
(678) 905-1500
(978) 374-3908
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
171M00000X
Case Manager/Care Coordinator
—
—
222Q00000X
Developmental Therapist
Primary
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
02/24/2015
Last updated
03/31/2021
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