Randa Gullion Valid NPI
Individual provider · Behavior Technician · Dallas, GA
- NPI
- 1265260152
- Type
- Individual (Type 1)
- Primary specialty
- Behavior Technician
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 106S00000X
- License number
- RBT-23-1277-631286 (GA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2024-07-23
- Last updated
- 2024-07-23
Practice location
168 N Johnson St, #305
Dallas, GA 30132
(772) 979-6988