Individual
IMONI D MAPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
180 FOX GLOVE DR, COVINGTON, GA 30016-7336
(678) 230-3147
Mailing address
180 FOX GLOVE DR, COVINGTON, GA 30016-7336
(678) 230-3147
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-52268
GA
Other
Enumeration date
05/20/2019
Last updated
12/22/2023
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