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Individual provider · Behavior Analyst · Berkeley Lake, GA

NPI
1285146662
Type
Individual (Type 1)
Primary specialty
Behavior Analyst
Specialty group
Behavioral Health & Social Service Providers
Taxonomy code
103K00000X
Sex
Male
Sole proprietor
Yes
Enumerated
2017-10-25
Last updated
2025-04-02
Practice location
4729 Peachtree Industrial Blvd Ste 300
Berkeley Lake, GA 30092-3023
(470) 719-8976

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