Individual
MRS. BIANCA PATTERSON MACKFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1294 ALMONT DR SW, ATLANTA, GA 30310-3770
(404) 839-7934
Mailing address
1294 ALMONT DR SW, ATLANTA, GA 30310-3770
(404) 839-7934
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
81-1463454
—
GA
Enumeration date
03/28/2023
Last updated
11/11/2024
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