Individual
KIMBERLY HEINEMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2121 NEWMARKET PKWY SE STE 130, MARIETTA, GA 30067-9309
(678) 486-1911
Mailing address
276 PROSPECT PARK W, 1R, BROOKLYN, NY 11215-6669
(708) 638-0155
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11622943
GA
252Y00000X
Early Intervention Provider Agency
372809091
NY
Other
Enumeration date
05/05/2013
Last updated
08/04/2021
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