Individual
HEATHER DAWN SUTHERLAND( REIS)
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BT
Contact information
Practice address
1 DUNWOODY PARK STE 220, DUNWOODY, GA 30338-7404
(470) 702-9400
(470) 408-2282
Mailing address
910 DEERFIELD CROSSING DR APT 16204, ALPHARETTA, GA 30004-1854
(678) 622-7398
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
GA
Other
Enumeration date
02/11/2022
Last updated
02/11/2022
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