Individual
MR. GARY TYLER NEFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
3655 HOWELL FERRY RD, DULUTH, GA 30096-3186
(770) 373-5822
Mailing address
3655 HOWELL FERRY RD, DULUTH, GA 30096-3186
(770) 373-5822
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
RBT-19-98556
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-19-98556
BACB
—
Enumeration date
09/23/2019
Last updated
10/28/2020
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