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Individual

BLAKE PERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
1000 HOLCOMB WOODS PKWY STE 320, ROSWELL, GA 30076-2587
(770) 552-1535
(404) 393-3516
Mailing address
1000 HOLCOMB WOODS PKWY STE 320, ROSWELL, GA 30076-2587
(770) 552-1535
(404) 393-3516

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
07/09/2021
Last updated
07/09/2021
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