Individual
BRIANA MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 TIMBER TRAIL RD STE 100, RICHMOND HILL, GA 31324-9415
(912) 785-9027
Mailing address
PO BOX 253, SKILLMAN, NJ 08558-0253
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-135756
GA
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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