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Individual

DESHUN FOSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BCBA

Contact information

Practice address
1750 BEAVER RUIN RD STE 500, NORCROSS, GA 30093-2813
(999) 999-9999
Mailing address
1750 BEAVER RUIN RD STE 500, NORCROSS, GA 30093-2813

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-19-38727
FL
103K00000X
Behavior Analyst
Primary
1-19-38727
GA
106S00000X
Behavior Technician
RBT-15-07046
FL

Other

Enumeration date
01/08/2018
Last updated
05/08/2026
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