REGINALD LAMONT ANDERSON

FAYETTEVILLE, GA
NPI1154921880
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: GA  RBT-20-139183)
Enumeration Date2020-10-30
Last Update Date2020-10-30
Business Address
REGINALD LAMONT ANDERSON RBT, BS
126 PAVILION PKWY
FAYETTEVILLE, GA 30214-4056
Phone number: 770-954-8988
Mailing Address
REGINALD LAMONT ANDERSON RBT, BS
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885
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