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Individual

TERRANICA BROOKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
259 ARROWHEAD BLVD, JONESBORO, GA 30236-1167
(478) 251-4520
Mailing address
2840 WARM SPRINGS RD APT R6, COLUMBUS, GA 31904-5431

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
17635
EMPLOYER
Enumeration date
06/24/2019
Last updated
02/27/2025
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