Individual
DERRICK KOFI APPIAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4245 WOODSLEY PL, LOGANVILLE, GA 30052-4753
(470) 983-1846
Mailing address
651 EXCHANGE PL NW, LILBURN, GA 30047-3747
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
APF-1700929883-25666
GA
106S00000X
Behavior Technician
Primary
—
GA
Other
Enumeration date
12/21/2023
Last updated
12/21/2023
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