Individual
EMILY ELLEN ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2010 MONTREAL RD, TUCKER, GA 30084-5203
(770) 609-8777
Mailing address
3518 W HILL ST, CLARKSTON, GA 30021-1203
(770) 519-8150
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-58820
GA
106S00000X
Behavior Technician
RBT-20-124134
GA
Other
Enumeration date
06/22/2020
Last updated
03/20/2024
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