Individual
OCTAVIA ANTOINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1155 CONCORD RD SE STE 220, SMYRNA, GA 30080-4234
(470) 666-5220
(470) 509-4895
Mailing address
300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 32746-5028
(866) 610-0580
(407) 588-6294
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/24/2019
Last updated
07/14/2025
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