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1255797957
JENNIFER ADDIS
ALPHARETTA, GA
NPI
1255797957
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
Additional Taxonomies
222Q00000X Developmental Therapist
Enumeration Date
2016-01-11
Last Update Date
2024-06-13
Business Address
JENNIFER ADDIS
6500 HALCYON WAY APT 471
ALPHARETTA, GA 30005
Phone number: 904-228-9048
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Mailing Address
JENNIFER ADDIS
6500 HALCYON WAY APT 471
ALPHARETTA, GA 30005-2380
Phone number: 904-228-9048
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