Individual
JAKIA ALPHONSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1519 JOHNSON FERRY RD BLDG 10, MARIETTA, GA 30062-6409
(470) 207-0390
Mailing address
1106 TREE TERRACE PKWY, AUSTELL, GA 30168-5571
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/08/2022
Last updated
06/08/2022
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