Individual
CHRISTIAN MICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1559 JANMAR RD, SNELLVILLE, GA 30078-5606
(770) 336-7373
Mailing address
2983 BLUE STONE CT, DACULA, GA 30019-7681
(404) 729-5471
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/28/2023
Last updated
02/03/2025
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