Provider Demographics
NPI:1023815396
Name:BARTHELEMY SAINT-THOMAS, MARIE SOITINE
Entity type:Individual
Prefix:
First Name:MARIE
Middle Name:SOITINE
Last Name:BARTHELEMY SAINT-THOMAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MARIE
Other - Middle Name:SOITINE
Other - Last Name:BARTHELEMY SAINT-THOMAS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1460 DISTRIBUTION DR APT 2109
Mailing Address - Street 2:
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-4377
Mailing Address - Country:US
Mailing Address - Phone:786-250-8150
Mailing Address - Fax:
Practice Address - Street 1:1460 DISTRIBUTION DR APT 2109
Practice Address - Street 2:
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-4377
Practice Address - Country:US
Practice Address - Phone:786-250-8150
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-25
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARBT-25-411814103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst