Individual
DE'QUAN WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
1777 WASHINGTON RD, EAST POINT, GA 30344-4159
(877) 288-4760
Mailing address
703 SUMMERCOURT DR, JONESBORO, GA 30236-1515
(912) 678-8750
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-178795
GA
Other
Enumeration date
08/04/2021
Last updated
08/03/2023
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