Individual
ANNIE CHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4893 TILLY MILL RD, DORAVILLE, GA 30360-1900
(404) 895-8212
Mailing address
4893 TILLY MILL RD, DORAVILLE, GA 30360-1900
(404) 895-8212
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-57182
GA
106S00000X
Behavior Technician
RBT-19-108002
GA
Other
Enumeration date
12/21/2019
Last updated
08/16/2022
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