Organization
NORTH GEORGIA AUTISM CENTER, INC
Active
Organization
NORTH GEORGIA AUTISM CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JESSICA LYNN PUGH M.S., BCBA (PRESIDENT)
(770) 844-8624
Entity
Organization
Contact information
Practice address
1575 DAHLONEGA HWY, CUMMING, GA 30040-4528
(770) 844-8624
(770) 844-8643
Mailing address
PO BOX 38, CUMMING, GA 30028-0038
(770) 844-8624
(770) 844-8643
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
APC001104
GA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
111NR0400X
Rehabilitation Chiropractor
CHIR007818
GA
Other
Enumeration date
04/04/2007
Last updated
09/29/2008
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