Individual
TENE EMMA LAETICIA DIOMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
3294 MEDLOCK BRIDGE RD, NORCROSS, GA 30092-3082
(470) 500-0105
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BCBA-1-23-68838
GA
Other
Enumeration date
08/24/2020
Last updated
02/14/2024
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