Individual
EMMA-LANE BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
127 JONESBORO RD STE 1031, JONESBORO, GA 30236-2468
(770) 862-8378
(678) 489-7049
Mailing address
127 JONESBORO RD # 1031, JONESBORO, GA 30236-2468
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-52170
GA
Other
Enumeration date
08/18/2019
Last updated
05/31/2022
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