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Individual

JAMESHA RENAE ALSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
6849 PEACHTREE DUNWOODY RD BLDG A1, ATLANTA, GA 30328-6769
(678) 691-2206
Mailing address
2572 LENOX RD NE APT G2, ATLANTA, GA 30324-3126
(312) 874-1853

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NA
NA
GA
Enumeration date
04/11/2022
Last updated
04/11/2022
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