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Individual

HALLIE RADLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
4150 DEPUTY BILL CANTRELL MEMORIAL ROAD, CUMMING, GA 30040-3002
(470) 839-3041
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-108893

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RBT-19-108893
CERTIFICATE
Enumeration date
02/13/2020
Last updated
02/13/2020
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