Individual
ADRIENNE BOUXSEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
160 CLAIREMONT AVE STE 625, DECATUR, GA 30030-2541
(678) 954-5721
Mailing address
203 DOUBLE GATE WAY, SUGAR HILL, GA 30518-8904
(210) 287-6847
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/24/2020
Last updated
02/24/2020
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