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Individual

MS. CHRISTINA R BACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1619 COLLINS RD NW STE 500, KENNESAW, GA 30152-8237
(470) 531-0430
Mailing address
300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 32746-5028
(866) 610-0580

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
04/28/2022
Last updated
04/28/2022
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