Individual
ASEELAH TARAJEE MAZONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1358 TRAVERS CREEK TRL, CONYERS, GA 30012-3585
(770) 318-1627
Mailing address
1358 TRAVERS CREEK TRL, CONYERS, GA 30012-3585
(770) 318-1627
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-213908
GA
Other
Enumeration date
12/01/2022
Last updated
12/01/2022
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