Organization
PIVOTAL CUSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHENAE AMELIA MARCH (OWNER)
(478) 561-0962
Entity
Organization
Contact information
Practice address
101 LOVE LN, WOODSTOCK, GA 30188-4282
(478) 561-0962
Mailing address
1720 MARS HILL RD NW STE 124-411, ACWORTH, GA 30101-7127
(478) 561-0962
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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