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Individual

MALLORY BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
102 MARY ALICE PARK RD STE 304, CUMMING, GA 30040-2683
(443) 414-1843
Mailing address
7570 SADDLE CREEK TRL, GAINESVILLE, GA 30506-5718
(770) 883-4436

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-44163

Other

Enumeration date
08/24/2020
Last updated
12/08/2022
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