Individual
DONTA NICOLE HALLMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
756 W PEACHTREE ST NW FL 4, ATLANTA, GA 30308-2378
(762) 622-8360
Mailing address
PO BOX 19525, ATLANTA, GA 30325-0525
(762) 622-8360
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-53225
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003259448G
—
GA
05
—
003259448P
—
GA
Enumeration date
12/16/2015
Last updated
10/10/2023
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