Individual
GRETHA ROJAS ULLOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
489 LANTERN WOOD DR, SCOTTDALE, GA 30079-6800
(786) 326-5711
Mailing address
3111 COLONIAL WAY APT B, CHAMBLEE, GA 30341-5315
(786) 326-5711
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-213696
GA
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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