Individual
QUINTESHA EDJANA BENTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3662 CEDARCREST RD, ACWORTH, GA 30101-8765
(866) 610-0580
(470) 408-2513
Mailing address
300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 32746-5028
(866) 610-0580
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/17/2019
Last updated
02/24/2022
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