Individual
CARMELITA JANE ROBERTSON - TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4870 AVOCET DR, PEACHTREE CORNERS, GA 30092-4902
(404) 641-0231
Mailing address
4870 AVOCET DR, PEACHTREE CORNERS, GA 30092-4902
(404) 641-0231
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-345858
GA
Other
Enumeration date
10/01/2024
Last updated
10/01/2024
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