Individual
CHRISTAL ERICA BYNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 WILLIAMS DR APT 105, MARIETTA, GA 30066-6127
(205) 223-2567
Mailing address
500 WILLIAMS DR APT 105, MARIETTA, GA 30066-6127
(205) 223-2567
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
21-189950
GA
Other
Enumeration date
02/22/2023
Last updated
02/22/2023
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