Individual
ASA SPURLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3250 LEYLAND WAY SE, CONYERS, GA 30013-6495
(404) 625-0466
Mailing address
3250 LEYLAND WAY SE, CONYERS, GA 30013-6495
(404) 625-0466
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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