Individual
BRENYIA DASIA CAPERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
: 3294 GA-5, DOUGLASVILLE, GA 30135, ATLANTA, GA 30135
(470) 870-2962
Mailing address
3207 KEY DR SW, ATLANTA, GA 30311-3652
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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