Organization
WAVES AUTISM CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLEY SPIVEY COUNSELOR, MA (OWNER/CEO)
(478) 733-2597
Entity
Organization
Contact information
Practice address
1000 CORPORATE POINTE # A8, WARNER ROBINS, GA 31088-3437
(478) 733-2597
Mailing address
103 LENOX DR, BONAIRE, GA 31005-3603
(478) 733-2597
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/08/2024
Last updated
11/08/2024
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