Individual
MELISSA FORTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1739 LEGRAND CIR, LAWRENCEVILLE, GA 30043-8184
(770) 513-4331
Mailing address
1032 OLD PEACHTREE RD NW STE 401, PMB 518, LAWRENCEVILLE, GA 30043-3324
(404) 654-3919
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/21/2014
Last updated
09/21/2014
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