Individual
JAHNISE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
730 PEACHTREE ST NE, ATLANTA, GA 30308-1210
(877) 733-7033
Mailing address
478 ARBOR RIDGE DR, STONE MOUNTAIN, GA 30087-4703
(678) 876-8913
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/19/2021
Last updated
04/28/2023
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