Individual
AMBER SAMIRAH SUMBRY-HASLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 GOVERNORS TRCE STE 101, PEACHTREE CITY, GA 30269-4853
(770) 268-2520
Mailing address
100 GOVERNORS TRCE STE 101, PEACHTREE CITY, GA 30269-4853
(770) 268-2520
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-209178
GA
Other
Enumeration date
08/03/2022
Last updated
08/03/2022
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