Individual
MIA NORA MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 TREE CORNERS PKWY, PEACHTREE CORNERS, GA 30092-6151
(679) 392-8629
Mailing address
1501 TREE CORNERS PKWY, PEACHTREE CORNERS, GA 30092-6151
(679) 392-8629
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
00000
GA
Other
Enumeration date
04/14/2022
Last updated
04/14/2022
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