Individual
ARION IMANI BREVARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 GRAND CENTRAL BLVD, POOLER, GA 31322-4148
(912) 446-2473
Mailing address
105 GRAND CENTRAL BLVD, POOLER, GA 31322-4148
(912) 446-2473
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
22-221229
GA
Other
Enumeration date
06/24/2022
Last updated
06/24/2022
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