Individual
JACKELYN NORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 LAKE DOW RD, MCDONOUGH, GA 30252-2926
(770) 865-7722
Mailing address
400 LAKE DOW RD, MCDONOUGH, GA 30252-2926
(770) 865-7722
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-438802
GA
Other
Enumeration date
07/08/2025
Last updated
07/08/2025
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