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Individual

MRS. ANITA GILDA NATASHA HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
506 N MAIN ST, HINESVILLE, GA 31313-2512
(615) 560-6622
Mailing address
913 RICE CT, HINESVILLE, GA 31313-9457

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
02/28/2023
Last updated
11/27/2024
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