Individual
MR. DEVONTA MARKEICE LANCASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
2200 SATELLITE BLVD APT 701, DULUTH, GA 30097-4018
(404) 807-7236
Mailing address
2200 SATELLITE BLVD APT 701, DULUTH, GA 30097-4018
(404) 807-7236
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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