Organization
ISNIMARO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA RODRIGUEZ DAVILA (PRINCIPAL EXECUTIVE)
(470) 282-9559
Entity
Organization
Contact information
Practice address
927 HERITAGE POST LN, GRAYSON, GA 30017-7847
(470) 282-9559
Mailing address
927 HERITAGE POST LN, GRAYSON, GA 30017-7847
(470) 282-9559
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/04/2024
Last updated
10/04/2024
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