Individual
FRED J UMUNNAKWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
REGISTERED BEHAVIOR
Contact information
Practice address
3190 NORTHEAST EXPY NE STE 110, ATLANTA, GA 30341-5323
(404) 487-6005
(678) 831-3005
Mailing address
2370 GREYTHORNE CMNS, DOUGLASVILLE, GA 30135-8103
(404) 819-4992
(404) 819-4992
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-264262
GA
Other
Enumeration date
03/29/2025
Last updated
03/29/2025
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