Individual
EESA CHAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1275 MINHINETTE DR, ROSWELL, GA 30075-3637
(877) 288-4760
Mailing address
1275 MINHINETTE DR, ROSWELL, GA 30075-3637
(877) 288-4760
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/05/2024
Last updated
05/03/2024
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