Individual
GABRIELLE ALYSE MATTERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3294 HIGHWAY 5, DOUGLASVILLE, GA 30135-2396
(470) 870-2962
Mailing address
4233 HIRAM DOUGLASVILLE HWY, POWDER SPRINGS, GA 30127-8762
(253) 691-5236
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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