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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. CLARISSA JO MIDDLETON, P.H.D., M.ED.

Active Sole Proprietor

DR. CLARISSA JO MIDDLETON, P.H.D., M.ED. is a Early Intervention Provider Agency healthcare provider located in HEPHZIBAH, Georgia. NPI 1861136277 is currently active in the NPPES registry. Verify at CMS.

Early Intervention Provider Agency · HEPHZIBAH, GA

Registration Details

NPI Number
1861136277
Provider Type
Individual
Gender
Female
NPI Issued
Apr 21, 2022 (4.355028200093 yrs)
Last Updated
Apr 21, 2022
Sole Proprietor
Yes

Practice Information

Address
4040 PINNACLE WAY
HEPHZIBAH, GA, 308156135
Browse GA providers · Browse ZIP 30815
Phone
8633292510
Primary Specialty
Early Intervention Provider Agency
252Y00000X
Additional Specialty
Behavior Analyst
Additional Specialty
Military Health Care Provider
Additional Specialty
1744R1102X
Additional Specialty
Local Education Agency

Other Early Intervention Provider Agency Providers in HEPHZIBAH, GA

Name Credential NPI
LATANYA THURMOND 1205327723
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.