Individual
DARLENE DELILAH HEAVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., BCBA
Contact information
Practice address
621 MACON ST, MCDONOUGH, GA 30253-3531
(404) 422-9190
Mailing address
2888 ROLLING DOWNS WAY, LOGANVILLE, GA 30052-7922
(336) 250-3891
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-53959
GA
Other
Enumeration date
02/19/2020
Last updated
09/18/2025
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