Individual
DANIEL ADERIBIGBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3190 NORTHEAST EXPY NE STE 110, ATLANTA, GA 30341-5323
(404) 487-6005
Mailing address
2183 TRINITY GROVE CT, DACULA, GA 30019-1080
(404) 667-1693
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
23302501
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23302501
RBT
GA
Enumeration date
04/03/2024
Last updated
04/03/2024
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