Individual
COREY TREYVONNE MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA, RBT
Contact information
Practice address
3800 CAMP CREEK PKWY SW STE 100, ATLANTA, GA 30331-6247
(770) 999-9271
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-133828
GA
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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