Individual
COLTON TOMBERLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
750 HAMMOND DR, ATLANTA, GA 30328-5532
(470) 344-9761
Mailing address
855 W PEACHTREE ST NE, ATLANTA, GA 30308-1167
(813) 767-0305
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-71914
GA
106S00000X
Behavior Technician
RBT-21-152548
FL
Other
Enumeration date
01/22/2021
Last updated
03/19/2024
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