MEDICARE: CYN'S PLAY PLACE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1568214369
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CYN'S PLAY PLACE

Provider Business Mailing Address
First Line	:	3824 ROSEMONT DR
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31904-5659
Country	:	US
Telephone Number	:	770-580-3538
Fax Number	:

Provider Business Practice Location Address
First Line	:	3824 ROSEMONT DR
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31904-5659
Country	:	US
Telephone Number	:	770-580-3538
Fax Number	:

Authorized Official
Title or Position	:	CEO/FOUNDER
Name	:	CYNTHIA MBANGUE-SMITH
Credential	:
Telephone Number	:	770-580-3538

Provider Enumeration Date	:	04/04/2024
Last Update Date	:	04/04/2024

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Directions to “CYN'S PLAY PLACE ” Practice Location

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