Individual
ANTONESHA MARIE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2651 FAVOR RD SW APT 1O03, MARIETTA, GA 30060-5241
(770) 766-1993
Mailing address
2651 FAVOR RD SW APT 1O03, MARIETTA, GA 30060-5241
(770) 766-1993
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/19/2024
Last updated
11/19/2024
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