Organization
AMARA PEDIATRIC THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RONTE JOHNSON BCBA (CEO/OWNER)
(719) 505-4816
Entity
Organization
Contact information
Practice address
4863 N HENRY BLVD, STOCKBRIDGE, GA 30281-3521
(719) 505-4816
Mailing address
337 MADISON AVENUE, STOCKBRIDGE, GA 30228-5910
(719) 505-4816
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
06/18/2024
Last updated
06/18/2024
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