Individual
AKEVA CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1511 JOHNSON FERRY RD STE 145, MARIETTA, GA 30062-6403
(470) 231-2377
Mailing address
PO BOX 931142, ATLANTA, GA 31193-1142
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-297890
GA
Other
Enumeration date
11/03/2023
Last updated
11/03/2023
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