Individual
MR. ANDREW PARKER SKORCZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
1000 COBB PLACE BLVD NW STE 230, KENNESAW, GA 30144-3684
(470) 648-3280
Mailing address
1089 OLD LATHEMTOWN RD, CANTON, GA 30115-7023
(770) 317-8575
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-235925
GA
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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