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Individual

DE'YANA WORRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
4000 SMITHTOWN RD STE 200, SUWANEE, GA 30024-6560
(470) 632-4990
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-259069
GA

Other

Enumeration date
06/09/2023
Last updated
06/09/2023
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