JONATHAN LIVELY

MARIETTA, GA
NPI1003405275
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: GA  RBT-21-151506)
Enumeration Date2021-01-13
Last Update Date2021-01-13
Business Address
JONATHAN LIVELY RBT
2651 DALLAS HWY SW
MARIETTA, GA 30064-2541
Phone number: 678-486-1904
Mailing Address
JONATHAN LIVELY RBT
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885
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