Individual
QUANTRELL DEVON FORTUNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. ED BCBA
Contact information
Practice address
1031 PALMER RD, LITHONIA, GA 30058-9083
(770) 547-4085
Mailing address
1031 PALMER RD, LITHONIA, GA 30058-9083
(770) 547-4085
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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