Individual
TANALUK PRATHEEPRATANA COX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2295 TOWNE LAKE PKWY STE 116-158, WOODSTOCK, GA 30189-5520
(706) 442-5460
Mailing address
317 RIDGEWAY DR, CATAULA, GA 31804-2643
(706) 442-5460
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/25/2020
Last updated
04/13/2022
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