Individual
JAQUAYA ROMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6849 PEACHTREE DUNWOODY RD, ATLANTA, GA 30328-1608
(678) 691-2206
Mailing address
6849 PEACHTREE DUNWOODY RD, ATLANTA, GA 30328-1608
(678) 691-2206
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-173573
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-21-173573
CM&F GROUP, INC
GA
Enumeration date
07/13/2021
Last updated
07/13/2021
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