VIRGINA PONTON SACK

TYRONE, GA
NPI1053931154
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103K00000X Behavior Analyst
(Licence: GA  1-20-44982)
Enumeration Date2020-04-20
Last Update Date2023-11-27
Business Address
VIRGINA PONTON SACK MS
1135 SENOIA RD
TYRONE, GA 30290-1625
Phone number: 770-626-3044
Mailing Address
VIRGINA PONTON SACK MS
1135 SENOIA RD
TYRONE, GA 30290-1625
Phone number: 770-626-3044
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