Individual
DUSTIN ALAN HANCOCK-RAMIREZ DONALDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
25 POINTE RIDGE DR, ATLANTA, GA 30328-2755
(678) 920-8933
Mailing address
25 POINTE RIDGE DR, ATLANTA, GA 30328-2755
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-50851
GA
Other
Enumeration date
06/24/2021
Last updated
06/24/2021
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