Individual
BRYAN CANELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
385 LOSSIE LN, MCDONOUGH, GA 30253-7567
(404) 960-7515
Mailing address
385 LOSSIE LN, MCDONOUGH, GA 30253-7567
(404) 960-7515
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-486699
GA
Other
Enumeration date
11/06/2025
Last updated
11/06/2025
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