Individual
AUSTIN BENTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6505 SHILOH RD STE 100, ALPHARETTA, GA 30005-1645
(678) 648-7644
(648) 648-7479
Mailing address
6505 SHILOH RD STE 100, ALPHARETTA, GA 30005-1645
(678) 648-7644
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-247050
GA
Other
Enumeration date
05/18/2023
Last updated
05/18/2023
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