Individual
JAKLE ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
325 SOUTHPOINT BLVD APT 723, MCDONOUGH, GA 30253-7674
(662) 374-3082
Mailing address
325 SOUTHPOINT BLVD APT 723, MCDONOUGH, GA 30253-7674
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
19-102767
GA
Other
Enumeration date
02/18/2021
Last updated
02/18/2021
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