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Individual

ETNEY TULLENERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
6371 SEYMOUR PL NW, ACWORTH, GA 30101-8063
(770) 508-0686
Mailing address
3511 CREATWOOD TRL SE, SMYRNA, GA 30080-4530
(470) 331-8568

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-26-528515
GA

Other

Enumeration date
04/10/2026
Last updated
04/10/2026
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