Individual
TAYLOR JO SWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
1000 COBB PLACE BLVD NW STE 230, KENNESAW, GA 30144-3684
(470) 648-3280
Mailing address
2727 PACES FERRY RD SE STE 750, ATLANTA, GA 30339-4053
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-59720
GA
106S00000X
Behavior Technician
—
GA
Other
Enumeration date
07/13/2020
Last updated
08/16/2022
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