Individual
EDMOND HAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6375 MCGINNIS FERRY RD STE 202, JOHNS CREEK, GA 30005-3617
(470) 508-9575
Mailing address
300 INTERNATIONAL PARKWAY, SUITE 200, LAKE MARY, FL 32746-3625
(866) 610-0580
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/04/2022
Last updated
08/04/2022
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