Individual
TYLER PERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
245 VILLAGE CENTER PKWY, STOCKBRIDGE, GA 30281-9096
(800) 604-2273
Mailing address
2868 WOODFIELD DR, REX, GA 30273-2004
(404) 644-2510
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-77104
GA
Other
Enumeration date
11/12/2024
Last updated
11/12/2024
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