Individual
HARLEY BUXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3993 LAWRENCEVILLE HWY NW STE 110, LILBURN, GA 30047-2831
(404) 889-8763
Mailing address
2167 GA HIGHWAY 117, RENTZ, GA 31075-3670
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-218417
GA
Other
Enumeration date
04/23/2025
Last updated
04/23/2025
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