Individual
JAILA LORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
294 INTERSTATE NORTH CIR SE, ATLANTA, GA 30339-2425
(470) 588-8484
Mailing address
PO BOX 740329, ATLANTA, GA 30374-0329
(317) 502-3512
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-457149
GA
Other
Enumeration date
08/05/2025
Last updated
11/06/2025
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