Individual
ARIEL KAITLYN PETRAKOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6505 SHILOH ROAD, SUITE 100, ALPHARETTA, GA 30005
(770) 754-0085
(770) 754-9288
Mailing address
6505 SHILOH ROAD, SUITE 100, ALPHARETTA, GA 30005
(770) 754-0085
(770) 754-9288
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-38197
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/08/2019
Last updated
10/03/2019
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