Individual
DEBBIE JAZMIN CIFUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
1551 SHOUP CT, DECATUR, GA 30033-4607
(404) 727-3964
Mailing address
1551 SHOUP CT, DECATUR, GA 30033-4607
(678) 451-5398
(407) 588-6294
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-41305
CO
Other
Enumeration date
03/16/2020
Last updated
07/25/2022
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