Individual
BRITTANY LEEANN MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3938 BOYNTON DR, RINGGOLD, GA 30736-3509
(706) 866-1521
Mailing address
1794 TAHOE LN, DALTON, GA 30720-3082
(706) 847-8166
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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