Individual
ANALIA JULIANA PERALTA LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4000 SMITHTOWN RD, SUWANEE, GA 30024-6559
(470) 665-6006
(470) 665-6007
Mailing address
550 WEBB GIN HOUSE RD APT 2117, LAWRENCEVILLE, GA 30045-5516
(470) 665-6007
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
233072658175
GA
Other
Enumeration date
10/08/2025
Last updated
10/08/2025
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