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1124881875
JAYLAH DAVENPORT-ACOSTA
ALPHARETTA, GA
NPI
1124881875
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CA RBT-23-310881)
Enumeration Date
2024-02-05
Last Update Date
2024-02-05
Business Address
JAYLAH DAVENPORT-ACOSTA RBT
12970 HIGHWAY 9 N
ALPHARETTA, GA 30004-3609
Phone number: 678-370-9990
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Mailing Address
JAYLAH DAVENPORT-ACOSTA RBT
565 HANK AARON DR SW APT 6063
ATLANTA, GA 30312-2891
Phone number: 650-270-4434
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