Individual
DIAMOND BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
547 EAST AVE NE, ATLANTA, GA 30312-1346
(833) 747-4222
Mailing address
547 EAST AVE NE, ATLANTA, GA 30312-1346
(833) 747-4222
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
03/11/2021
Last updated
12/18/2024
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