Individual
PRESLEY PRUITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
204 W TUSCALOOSA ST, FLORENCE, AL 35630-5428
(205) 388-0226
Mailing address
1275 MINHINETTE DR, ROSWELL, GA 30075-3637
(877) 288-4760
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/09/2023
Last updated
07/24/2024
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