Individual
TATIANNA SPENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2387 HUNTCREST WAY, LAWRENCEVILLE, GA 30043-8126
(678) 648-7644
(678) 648-7479
Mailing address
1595 BRAMLETT FOREST TRL, LAWRENCEVILLE, GA 30045-7287
(973) 914-9494
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
RBT-21-179703
GA
Other
Enumeration date
05/04/2021
Last updated
03/27/2023
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