Individual
DEVIKA PADILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 N PARK TRL STE 123, STOCKBRIDGE, GA 30281-7373
(470) 491-2052
Mailing address
1551 SHOUP CT, DECATUR, GA 30033-4607
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-38739
GA
Other
Enumeration date
01/08/2020
Last updated
09/01/2021
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