Organization
CSJKIDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHON W PATTON (OWNER)
(770) 896-7948
Entity
Organization
Contact information
Practice address
166 CYPRESS COVE CT, GRAYSON, GA 30017-4199
(770) 896-7948
(770) 837-0855
Mailing address
166 CYPRESS COVE CT, GRAYSON, GA 30017-4199
(770) 896-7948
(770) 837-0855
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/24/2019
Last updated
08/24/2019
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