North Georgia Autism Center, INC

NPI #1871615393 in Cumming, Georgia

Provider Information

NPI Number: 1871615393
Entity Type: Organization
Organization Name: North Georgia Autism Center, INC
Primary Specialty: Psychologist - Intellectual & Developmental Disabilities
Enumeration Date: Apr 4, 2007
Last Updated: Sep 29, 2008

Practice Location

Address: 1575 DAHLONEGA HWY
City: Cumming
State: Georgia
ZIP Code: 30040-4528
Phone: (770) 844-8624

Authorized Official

Name: MS. JESSICA LYNN PUGH, M.S., BCBA
Title: PRESIDENT
Phone: (770) 844-8624

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X
Chiropractor - Rehabilitation — Rehabilitation	111NR0400X
Psychologist - Intellectual & Developmental Disabilities — Intellectual & Developmental Disabilities	103TM1800X	Primary

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