Individual
GENESIS DALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2835 CENTERVILLE HWY, SNELLVILLE, GA 30078-4503
(470) 500-0105
Mailing address
1150 MCKENDREE PARK LN, LAWRENCEVILLE, GA 30043-7062
(470) 920-3630
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
24351488
GA
Other
Enumeration date
03/13/2025
Last updated
03/13/2025
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