Individual
DARIAN LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3 MISTY RIDGE PL, HIRAM, GA 30141-5774
(678) 836-9702
Mailing address
6849 PEACHTREE ST, DUNWOODY, GA 30360
(678) 691-2206
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-19-843020
RBT
GA
Enumeration date
08/11/2020
Last updated
08/11/2020
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