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Michael D'Angelo Hemingway

Behavior Technician in McDonough, GA. Individual provider (NPI-1).

NPI number1245000751
StatusActive
Last updated in NPPESJan 5, 2024

Details

NPI
1245000751
Entity type
Individual (NPI-1)
Name
Michael D'Angelo Hemingway
Sex
Male
Sole proprietor
Yes
Enumeration date
Jan 5, 2024
Certification date
Jan 5, 2024
Last updated
Jan 5, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior TechnicianBACBB49834GAYes

Practice location

2251 Highway 42 N
McDonough, GA 30253-4735

Phone 770-865-7722

Mailing address

190 Country Roads Dr
Stockbridge, GA 30281-1365

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