Individual
JACQUELINE MADISON MOZLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
225 CEDAR HILL ST STE 200, MARLBOROUGH, MA 01752-5900
(678) 896-3440
Mailing address
41 OLDE TOWN WAY, ROCKMART, GA 30153-7455
(678) 896-3440
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-136713
GA
Other
Enumeration date
09/30/2020
Last updated
09/30/2020
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