The Itd Group LLC

NPI #1639561905 in Conyers, Georgia

Provider Information

NPI Number: 1639561905
Entity Type: Organization
Organization Name: The Itd Group LLC
Primary Specialty: Developmental Therapist
Enumeration Date: Feb 24, 2015
Last Updated: Mar 31, 2021

Practice Location

Address: 2004 EASTVIEW PKWY
Address 2: SUITE 105
City: Conyers
State: Georgia
ZIP Code: 30013-5770
Phone: (678) 905-1500

Authorized Official

Name: VEJA CORENE DENNIS, ED.S
Title: CEO/ SPECIAL EDUCATOR
Phone: (678) 905-1500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X
Behavior Analyst	103K00000X
Physical Therapist - Pediatrics — Pediatrics	2251P0200X
Occupational Therapist - Pediatrics — Pediatrics	225XP0200X
Speech-Language Pathologist	235Z00000X
Case Management	251B00000X
Community/Behavioral Health	251S00000X
Early Intervention Provider Agency	252Y00000X
Developmental Therapist	222Q00000X	Primary

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