Individual
ADYSON LEAH TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1565 HIGHWAY 34 E, NEWNAN, GA 30265-2401
(866) 288-4760
Mailing address
164 LAKE SHORE DR, NEWNAN, GA 30265-6202
(678) 710-5927
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/26/2022
Last updated
10/26/2022
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