Individual
BRAYDEN EMILIE STATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1967 JESSIE JEWELL PKWY SE, GAINESVILLE, GA 30501
(404) 590-2281
Mailing address
331 MODOC DR, CORNELIA, GA 30531-2136
(706) 949-5942
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
GA
Other
Enumeration date
06/20/2025
Last updated
06/20/2025
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