Individual
INA CAROLYN MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
620 MADDOX RD, GRIFFIN, GA 30224-5268
(770) 823-3564
Mailing address
620 MADDOX RD, GRIFFIN, GA 30224-5268
(770) 823-3564
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-238701
GA
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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