Individual
CELENA CHYANE CHANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4143 COLUMBIA RD STE B, MARTINEZ, GA 30907-5405
(706) 755-2785
(706) 755-2783
Mailing address
4143 COLUMBIA RD STE B, MARTINEZ, GA 30907-5405
(706) 755-2785
(706) 755-2783
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-230768
GA
Other
Enumeration date
08/19/2022
Last updated
08/19/2022
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