Individual
DEMICIA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7309 HADDON PL, MCDONOUGH, GA 30253-6969
(678) 933-3429
Mailing address
7309 HADDON PL, MCDONOUGH, GA 30253-6969
(678) 933-3429
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-122368
GA
Other
Enumeration date
07/22/2021
Last updated
07/26/2021
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