Healthcare Provider Details

I. General information

NPI: 1124569140
Provider Name (Legal Business Name): LET'S LEARN INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2017
Last Update Date: 03/09/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11660 ALPHARETTA HWY SUITE 320
ROSWELL GA
30076-4943
US

IV. Provider business mailing address

11660 ALPHARETTA HWY SUITE 320
ROSWELL GA
30076-4943
US

V. Phone/Fax

Practice location:
  • Phone: 770-754-0085
  • Fax: 770-754-9288
Mailing address:
  • Phone: 770-754-0085
  • Fax: 770-754-9288

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: SHELLEY R MARGOW
Title or Position: CEO
Credential:
Phone: 770-754-0085