Individual
KAITLYN MIRANDA CROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
730 PEACHTREE ST NE STE 570, ATLANTA, GA 30308-1244
(877) 733-7033
Mailing address
5641 ROSWELL RD UNIT 201, ATLANTA, GA 30342-1208
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
GA
Other
Enumeration date
10/05/2020
Last updated
05/21/2024
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