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Individual

RACHEL J KANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
3775 VENTURE DR BLDG M STE 101, DULUTH, GA 30096-5217
(470) 610-4222
(855) 648-5902
Mailing address
3005 BRECKINRIDGE BLVD STE 230, DULUTH, GA 30096-4978
(678) 898-2223

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-74119
GA
106S00000X
Behavior Technician
BACB563650
GA

Other

Enumeration date
05/21/2021
Last updated
07/30/2024
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