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Individual

ANTWON TREVONN COLLINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
8085 ADAIR LN APT 1805, SANDY SPRINGS, GA 30350-4048
(470) 392-9695
Mailing address
8085 ADAIR LN APT 1805, SANDY SPRINGS, GA 30350-4048

Taxonomy

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

Other

Enumeration date
10/08/2025
Last updated
10/08/2025
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