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MOON RIVER, LLC

Active Organization

MOON RIVER, LLC is a Behavior Analyst organization located in MARIETTA, Georgia. NPI 1730143553 is currently active in the NPPES registry. Verify at CMS.

Behavior Analyst · MARIETTA, GA

Registration Details

NPI Number
1730143553
Provider Type
Organization
NPI Issued
Apr 17, 2006 (20.314902081273 yrs)
Last Updated
Feb 18, 2025
Licenses
PT003833 (GA)
OT 004293 (GA)
GAOT001717 (GA)
SLP003992 (GA)

Practice Information

Address
790 OAK TRAIL DR
MARIETTA, GA, 300627502
Browse GA providers · Browse ZIP 30062
Phone
7709776866
Fax
7709776887
Primary Specialty
Behavior Analyst
103K00000X
Additional Specialty
Physical Therapy Assistant
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.