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Individual

JESICA RAQUEL QUIRINDONGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
X
Credential
BCBA

Contact information

Practice address
3010 JOHNSON RD, LOGANVILLE, GA 30052-2987
(202) 445-9042
Mailing address
3010 JOHNSON RD, LOGANVILLE, GA 30052-2987
(202) 445-9042

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
GA

Other

Enumeration date
07/01/2025
Last updated
07/01/2025
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