MOON RIVER, LLC

Behavior Analyst

Active Organization
NPI: 1730143553

Practice Address

790 OAK TRAIL DR
Marietta, GA 30062

Phone: (770) 977-6866

Specialties

Specialty Code Primary License
Psychologist 103T00000X No -
Physical Therapist 225100000X No PT003833 (GA)
Occupational Therapist - Pediatrics 225XP0200X No GAOT001717 (GA)
Speech-Language Pathologist 235Z00000X No SLP 006556 (GA)
Behavior Analyst 103K00000X Yes -

Frequently Asked Questions

NPI 1730143553 is the National Provider Identifier for MOON RIVER, LLC, a Behavior Analyst provider located in Marietta, GA. This NPI was enumerated on April 17, 2006.

Quick Facts

NPI
1730143553
Type
Organization
Enumerated
Apr 17, 2006
Last Updated
Feb 18, 2025

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