Individual
MRS. JACLYN MICHELLE TSITSILIANOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
635 WINDSOR BROOK LN, LAWRENCEVILLE, GA 30045-3825
(714) 830-8057
Mailing address
635 WINDSOR BROOK LN, LAWRENCEVILLE, GA 30045-3825
(714) 830-8057
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-80722
GA
Other
Enumeration date
02/02/2017
Last updated
04/23/2025
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