Individual
MAYRA M ROSALES GUERRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1431 SILVERGATE WAY, WINDER, GA 30680-6101
(470) 561-0340
Mailing address
1431 SILVERGATE WAY, WINDER, GA 30680-6101
(470) 561-0340
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-48802
GA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/09/2018
Last updated
09/15/2023
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