Individual
MRS. JAELYN BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
2933 CHEROKEE ST NW, KENNESAW, GA 30144-2884
(770) 627-2267
(678) 550-9396
Mailing address
2933 CHEROKEE ST NW, KENNESAW, GA 30144-2884
(770) 627-2267
(678) 550-9396
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-29859
GA
Other
Enumeration date
04/02/2018
Last updated
04/02/2018
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