Individual
AMAYA FAULKNER-TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1720 MILLSIDE TRCE SE, SMYRNA, GA 30080-6308
(661) 917-7843
Mailing address
1720 MILLSIDE TRCE SE, SMYRNA, GA 30080-6308
(661) 917-7843
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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