Individual
JALEN CAMBRIDGE-WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2849 HENDERSON MILL RD, ATLANTA, GA 30341-5772
(404) 905-7720
Mailing address
1138 REED CT, MONROE, GA 30655-3122
(678) 891-7982
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-07-3468
GA
106S00000X
Behavior Technician
Primary
1-07-3468
GA
Other
Enumeration date
10/23/2023
Last updated
05/11/2026
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