Individual
HEATHER GLADNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 MILLARD FARMER INDUSTRIAL BLVD BLDG B STE 100, NEWNAN, GA 30263
(470) 400-3177
(470) 241-1131
Mailing address
10175 FORTUNE PKWY UNIT 903, JACKSONVILLE, FL 32256-6755
(904) 538-0713
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-54104
GA
Other
Enumeration date
04/24/2018
Last updated
03/30/2021
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