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Individual

EMILY PINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA, MA, RBT

Contact information

Practice address
2711 IRVIN WAY, DECATUR, GA 30030-5405
(866) 523-4268
Mailing address
2711 IRVIN WAY, DECATUR, GA 30030-5405

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-55338
OH
106S00000X
Behavior Technician

Other

Enumeration date
03/01/2020
Last updated
12/05/2021
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