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1003437005
PREMA PERVIN
ALPHARETTA, GA
NPI
1003437005
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: GA 19-81172)
Enumeration Date
2020-04-30
Last Update Date
2020-04-30
Business Address
PREMA PERVIN RBT
6505 SHILOH RD STE 100
ALPHARETTA, GA 30005-1645
Phone number: 678-648-7644
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Mailing Address
PREMA PERVIN RBT
6505 SHILOH RD STE 100
ALPHARETTA, GA 30005-1645
Phone number: 678-648-7644
Copy
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