Individual
DREW KOLETSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
382 RACETRACK RD STE 102, MCDONOUGH, GA 30252-1022
(678) 691-2206
Mailing address
3450 ROXBORO RD NE APT 2401, ATLANTA, GA 30326-1686
(561) 901-8717
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-47760
GA
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
10/10/2014
Last updated
03/22/2021
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