Individual
BRE'YANA CLAXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4040 ASHBY WAY, VILLA RICA, GA 30180-5837
(313) 694-2541
Mailing address
4040 ASHBY WAY, VILLA RICA, GA 30180-5837
(313) 694-2541
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
060385587
GA
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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