Individual
AMBER BOOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1619 COLLINS RD NW, KENNESAW, GA 30152-4309
(470) 531-0430
Mailing address
1619 COLLINS RD NW, KENNESAW, GA 30152-4309
(470) 531-0430
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-15-05935
—
Other
Enumeration date
12/03/2019
Last updated
08/11/2021
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