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Individual

ALEA COLLIER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
50 PLAZA WAY NW, MARIETTA, GA 30060-1141
(678) 691-2206
Mailing address
209 TRAILWOOD GAP, DOUGLASVILLE, GA 30134-4839
(678) 934-2445

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
20-124981
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20-124981
RBT
GA
Enumeration date
08/31/2021
Last updated
08/31/2021
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