Individual
AUSTIN PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
2083 NEWNAN CROSSING BLVD E, NEWNAN, GA 30265-2606
(470) 241-1408
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-309615
GA
Other
Enumeration date
12/08/2023
Last updated
12/08/2023
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