Organization
DIVINE INTERVENTION BEHAVIORAL SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARVIN TIMOTHY BLUE JR. M.S., BCBA (OWNER)
(678) 815-5277
Entity
Organization
Contact information
Practice address
3510 ROSWELL RD NW APT F3, ATLANTA, GA 30305-1219
(678) 815-5277
Mailing address
3510 ROSWELL RD NW APT F3, ATLANTA, GA 30305-1219
(678) 815-5277
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/29/2021
Last updated
11/29/2021
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