Individual
ELIZABETH MIGNON BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
187 HOWELL DR SW, ATLANTA, GA 30331-4022
(404) 447-7921
Mailing address
187 HOWELL DR SW, ATLANTA, GA 30331-4022
(404) 447-7921
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-101822
GA
Other
Enumeration date
03/10/2020
Last updated
03/10/2020
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