Healthcare Provider Details

I. General information

NPI: 1184048902
Provider Name (Legal Business Name): DYNAMIC LEARNING CENTERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2014
Last Update Date: 05/17/2026
Certification Date: 05/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 PERIMETER CTR N STE 300-345
ATLANTA GA
30346-3402
US

IV. Provider business mailing address

1886 SILVER CREEK DR
LITHIA SPRINGS GA
30122-2800
US

V. Phone/Fax

Practice location:
  • Phone: 678-887-4732
  • Fax: 678-398-7752
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225CA2500X
TaxonomyAssistive Technology Supplier Rehabilitation Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QA3000X
TaxonomyAugmentative Communication Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. KITTERSON CLYNE
Title or Position: C.E.O
Credential:
Phone: 678-887-4732