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Individual

ALYSSA LEATHERWOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
12060 ETRIS RD STE 200, ROSWELL, GA 30075-1463
(770) 557-0945
Mailing address
12060 ETRIS RD STE 200, ROSWELL, GA 30075-1463
(770) 557-0945

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-273601
GA

Other

Enumeration date
10/04/2023
Last updated
10/04/2023
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