Individual
DEJA KHLOE BURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
5972 STONE FLY CV SE, MABLETON, GA 30126-2675
(770) 570-7375
Mailing address
5972 STONE FLY CV SE, MABLETON, GA 30126-2675
(770) 570-7375
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-431472
GA
Other
Enumeration date
04/24/2026
Last updated
04/24/2026
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