Individual
JENNA ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,BCBA
Contact information
Practice address
190 HANDLEY RD STE C, TYRONE, GA 30290-2178
(678) 850-7906
Mailing address
190 HANDLEY RD STE C, TYRONE, GA 30290-2178
(678) 850-7906
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12041599
—
Other
Enumeration date
06/22/2020
Last updated
06/22/2020
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