Individual
ANGELA BAPTISTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
605 TREES OF KENNESAW PKWY NW, KENNESAW, GA 30152-7645
(678) 852-9173
Mailing address
605 TREES OF KENNESAW PKWY NW, KENNESAW, GA 30152-7645
(678) 852-9173
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/09/2022
Last updated
05/10/2022
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