Individual
IRENE RUSHUBIRWA BAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6849 PEACHTREE DUNWOODY RD BLDG A1, SANDY SPRINGS, GA 30328-6769
(678) 691-2206
Mailing address
555 CARDELL CIR SE, MABLETON, GA 30126-4602
(770) 906-6564
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-113759
GA
Other
Enumeration date
03/15/2020
Last updated
03/15/2020
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