Individual
LA'TAVIA LOWERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2849 HENDERSON MILL RD, ATLANTA, GA 30341-5772
(706) 842-5330
(706) 842-5340
Mailing address
209 7TH ST FL 3, AUGUSTA, GA 30901-1486
(706) 842-5330
(706) 842-5340
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-80428
GA
Other
Enumeration date
04/26/2022
Last updated
04/02/2025
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