Individual
REBEKAH BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
5163 ROSWELL RD, ATLANTA, GA 30342-2206
(877) 288-4760
Mailing address
6505 SHILOH RD STE 100, ALPHARETTA, GA 30005-1645
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/19/2017
Last updated
09/18/2023
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