Individual
ALIA JIE STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1715 FRIENDSHIP CIR STE 300, CUMMING, GA 30028-6920
(770) 240-0163
Mailing address
3965 TWO RIVERS DR, CUMMING, GA 30041-2897
(470) 662-5507
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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