Laika Mirtil
Laika Mirtil is a Behavior Technician in Pendergrass, Georgia. Licensed in Georgia and Indiana. Registered with an NPI since 2021.
- Licensed in
- GA, IN
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
540 Glenn Gee Rd Apt 6205Pendergrass, GA 30567-4728
Phone: (812) 850-0289
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Analyst (primary) | Taxonomy 103K00000X · Licence 1-23-67979 (GA) |
|---|---|
| Behavior Technician | Taxonomy 106S00000X · Licence 18-61416 (IN) |
Record details
| NPI number | 1154094241 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 26, 2021 |
| Last updated in NPPES | September 18, 2023 |
| Certification date | September 18, 2023 |
| Mailing address | 540 Glenn Gee Rd Apt 6205, Pendergrass, GA 30567-4728 |
Other providers in Pendergrass
-
Amber Marie Hood
70 Rose Cir, Pendergrass, GA 30567-4634 · (678) 636-9472
-
Krista Richardson
540 Glenn Gee Rd, Pendergrass, GA 30567-4688 · (470) 678-0621