Individual
TELESHCIA BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5457 ZACHARY DR, STONE MOUNTAIN, GA 30083-3873
(678) 724-2893
Mailing address
5457 ZACHARY DR, STONE MOUNTAIN, GA 30083-3873
(678) 724-2893
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
051197640
GA
Other
Enumeration date
05/17/2016
Last updated
05/17/2016
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