NPI 1619309994

Prestige Learning Academy

Organisation Early Intervention Provider Agency Douglasville, GA

Practice location

Address: 6920 Broad St, Douglasville, GA 30134-1604
Phone: (248) 943-5234

Authorised official

Name: Monnique Milliner
Title: Owner/Provider
Phone: (248) 943-5234

Registered specialties (3)

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X Licence 739025 (GA)

Other Early Intervention Provider Agency providers in Georgia →

Case Management Agency

Agencies Taxonomy 251B00000X

Other Case Management providers in Georgia →

Developmentally Disabled Services Day Training Agency

Agencies Taxonomy 251C00000X

Other Day Training, Developmentally Disabled Services providers in Georgia →

Registry record

NPI: 1619309994
Entity type: Organization
NPI issued: 8 Aug 2013
Record last updated: 8 Aug 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.