Individual
JALISSIA RAYFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12395 MORRIS RD, ALPHARETTA, GA 30005-4000
(678) 648-7644
Mailing address
1664 MARKET PLACE BLVD, CUMMING, GA 30041-7927
(470) 253-4121
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/05/2024
Last updated
03/06/2025
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