Individual
KATRINA JOY BAYLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
140 E MARIETTA ST STE 301, CANTON, GA 30114-3002
(770) 213-3594
Mailing address
3611 OLDE PRESTWICK CT, WOODSTOCK, GA 30189-8145
(404) 304-0089
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-36083
GA
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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