Individual
ANNITA BINTA BANGURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4486 PARMALEE PATH, CONLEY, GA 30288-1630
(678) 508-9176
Mailing address
4486 PARMALEE PATH, CONLEY, GA 30288-1630
(678) 508-9176
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
09/18/2020
Last updated
09/18/2020
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