Organization
TARGET MANAGEMENT TR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHMOSE AMEXEM EL (TRUSTEE)
(917) 684-4470
Entity
Organization
Contact information
Practice address
201 WALL ST, GADSDEN, AL 35904-1940
(917) 684-4470
Mailing address
1530 MCCONNELL RD, GRAYSON, GA 30017-1376
(917) 684-4470
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/25/2020
Last updated
12/17/2025
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