Individual
CORE RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
415 FAIRBURN RD SW APT 1703, ATLANTA, GA 30331-1936
(832) 940-4092
Mailing address
415 FAIRBURN RD SW APT 1703, ATLANTA, GA 30331-1936
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/16/2024
Last updated
01/16/2024
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