Individual
ERICA MINTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5623 SASSAFRAS CT, DOUGLASVILLE, GA 30135-5650
(404) 635-8219
Mailing address
5623 SASSAFRAS CT, DOUGLASVILLE, GA 30135-5650
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
GA
Other
Enumeration date
10/10/2025
Last updated
10/10/2025
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