Individual
BERNESHA ESCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3294 GA-5, DOUGLASVILLE, GA 30135
(470) 870-2962
Mailing address
4031 DENTON DR, DOUGLASVILLE, GA 30135-3354
(601) 503-3725
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/04/2020
Last updated
04/11/2024
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