Individual
GABRIELLE MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10540 COLONY GLEN DR, ALPHARETTA, GA 30022-5791
(404) 772-5446
Mailing address
10540 COLONY GLEN DR, ALPHARETTA, GA 30022-5791
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-116471
GA
372600000X
Adult Companion
—
—
Other
Enumeration date
05/26/2017
Last updated
06/08/2020
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