Individual
CHERRELLE BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7360 MCGINNIS FERRY RD STE 100, JOHNS CREEK, GA 30024-6603
(866) 523-4268
Mailing address
PO BOX 399218, SAN FRANCISCO, CA 94139-9318
(866) 523-4268
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
GA
Other
Enumeration date
08/09/2021
Last updated
08/09/2021
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