Individual
BRIDGET BONNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
2251 HIGHWAY 42 N, MCDONOUGH, GA 30253-4735
(770) 865-7722
Mailing address
540 SUGAR VALLEY TRL SE, CONYERS, GA 30094-3826
(404) 944-1094
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-189591
GA
Other
Enumeration date
02/23/2023
Last updated
02/23/2023
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