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Individual

BROOKE ROUSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
X

Contact information

Practice address
810 OLYMPIC DR, ATHENS, GA 30601-1633
(904) 456-1204
Mailing address
75 STRAWBERRY LN, WINDER, GA 30680-4691

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
07/18/2025
Last updated
07/18/2025
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