Individual
GABRIEL WINTHROP BURKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6849 PEACHTREE DUNWOODY RD, ATLANTA, GA 30328-1608
(678) 691-2206
Mailing address
953 E LAKE LNDG, MARIETTA, GA 30062-7513
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1013647
GA
Other
Enumeration date
03/08/2024
Last updated
03/08/2024
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