Individual
JAMAICA WESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 W MARIETTA ST NW UNIT 305A, ATLANTA, GA 30318-5214
(312) 371-3549
Mailing address
800 W MARIETTA ST NW UNIT 305A, ATLANTA, GA 30318-5214
(312) 371-3549
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
061139512
GA
Other
Enumeration date
04/04/2024
Last updated
04/04/2024
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