Individual
BERACCA NATHANAELLE CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
225 OAK SHORES DR, MCDONOUGH, GA 30253-5499
(943) 226-7599
Mailing address
225 OAK SHORES DR, MCDONOUGH, GA 30253-5499
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
GA
Other
Enumeration date
01/29/2026
Last updated
01/29/2026
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