NPI 1619485679 · live from the CMS NPI Registry
Amazingly Uplifted, LLC
Behavior Analyst in Smyrna, GA. National Provider Identifier 1619485679, active.
NPI record
| NPI | 1619485679 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 115 Kenninghall Ct Se, Smyrna, GA 30082 |
| Practice phone | 678-744-7045 |
| Mailing address | 2451 Cumberland Pkwy Se Ste 3956, Atlanta, GA 30339 |
| Enumerated | January 11, 2018 |
| Last updated | December 6, 2018 |
| Authorized official | Veronica Crafton, Owner |
| Other names | Amazingly Uplifted, LLC |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.