Individual
ANGELA MARIE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 JOSEPH E LOWERY BLVD NW, ATLANTA, GA 30314-3422
(470) 887-7673
Mailing address
829 WHITE ST SW, ATLANTA, GA 30310-2721
(404) 397-2654
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/29/2026
Last updated
01/29/2026
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