Individual
BERENICE BETANCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3850 HOLCOMB BRIDGE RD STE 180185, PEACHTREE CORNERS, GA 30092-5223
(470) 361-2462
Mailing address
4000 SPRINGS LN APT F, PEACHTREE CORNERS, GA 30092-4055
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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