Individual
AYANA CRAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 PLAZA WAY NW STE A, MARIETTA, GA 30060-1141
(678) 691-2206
Mailing address
50 PLAZA WAY NW STE A, MARIETTA, GA 30060-1141
(678) 691-2206
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-138454
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-20-138454
CLINIC
—
Enumeration date
04/07/2021
Last updated
04/07/2021
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