Individual
MAKAYLA MCQUISTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, BCABA, LABA
Contact information
Practice address
3662 CEDARCREST RD STE 220, ACWORTH, GA 30101-8940
(470) 531-0510
(470) 408-2513
Mailing address
300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 32746-5028
(866) 610-0528
(407) 588-6294
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
M223578201830
MI
106S00000X
Behavior Technician
M223578201830
MI
Other
Enumeration date
11/28/2016
Last updated
02/18/2021
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