Organization
MOUNTAINSIDE AUTISM THERAPY, LLC
Active
Other names
Mountainside Autism Therapy, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC SHULTS BCBA (OWNER)
(678) 738-3077
Entity
Organization
Contact information
Practice address
305 MORNING DEW CT, CANTON, GA 30114-5121
(678) 740-3742
Mailing address
305 MORNING DEW CT, CANTON, GA 30114-5121
(678) 740-3742
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/06/2021
Last updated
07/06/2021
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