Individual
MR. CHINEDU KENNARD OKOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
19 VALLEY FORGE PL NW # 19, ATLANTA, GA 30318-1455
(404) 641-8500
Mailing address
19 VALLEY FORGE PL NW # 19, ATLANTA, GA 30318-1455
(404) 641-8500
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-17-38771
GA
Other
Enumeration date
04/11/2018
Last updated
04/11/2018
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