Individual
DEMARCUS BOYKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1155 CONCORD RD SE, SMYRNA, GA 30080-4234
(470) 666-2550
Mailing address
3162 WEXFORD WALK DR SE, SMYRNA, GA 30080-8710
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-265811
FL
Other
Enumeration date
10/18/2023
Last updated
10/18/2023
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