Individual
BRAXTON TRENT HARALSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2476 US HIGHWAY 280, AILEY, GA 30410-3538
(404) 924-6220
Mailing address
7 DUNLAP ST, STATESBORO, GA 30458-0745
(706) 818-3185
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/08/2024
Last updated
11/11/2024
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