Individual
BROOKLYN NICHOLE SOCKWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2387 HUNTCREST WAY, LAWRENCEVILLE, GA 30043-8126
(678) 648-7644
Mailing address
6505 SHILOH RD STE 100, ALPHARETTA, GA 30005-1645
(678) 648-7644
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RBT-23-275458
GA
Other
Enumeration date
02/20/2023
Last updated
10/18/2023
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