Individual
JADA S BLANDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2440 FAIRBURN RD SW STE 101, ATLANTA, GA 30331-5253
(470) 419-8442
(470) 419-8402
Mailing address
2440 FAIRBURN RD SW STE 101, ATLANTA, GA 30331-5253
(470) 419-8442
(470) 419-8402
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
23-283199
GA
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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