Individual
MISTY LEIGH QUIROZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
97 ATLANTA ST STE 100, MCDONOUGH, GA 30253-2192
(678) 503-2474
Mailing address
97 ATLANTA ST STE 100, MCDONOUGH, GA 30253-2192
(678) 503-2474
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/19/2018
Last updated
12/19/2018
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