Organization
NEURO CENTER FOR PEDIATRIC DEVELOPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE NWOKEY (DIRECTOR)
(912) 482-3461
Entity
Organization
Contact information
Practice address
131 CANAL ST STE C, POOLER, GA 31322-6019
(912) 482-3461
Mailing address
131 CANAL ST STE C, POOLER, GA 31322-6019
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/12/2026
Last updated
04/04/2026
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