Individual
MRS. TEGAN JEAN LEGENDRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3257 LOWER BURRIS RD, CANTON, GA 30114-4495
(470) 334-3324
Mailing address
3257 LOWER BURRIS RD, CANTON, GA 30114-4495
(470) 334-3324
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-67794
—
Other
Enumeration date
09/14/2023
Last updated
09/14/2023
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