Individual
TANNER MADISON PICKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6335 LAKE OAK LNDG, CUMMING, GA 30040-9574
(678) 314-4975
Mailing address
6335 LAKE OAK LNDG, CUMMING, GA 30040-9574
(678) 314-4975
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/02/2022
Last updated
01/16/2025
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