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1366951865
HAILEY BLACKSTOCK
CUMMING, GA
NPI
1366951865
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: GA 1-17-26951)
Enumeration Date
2017-09-27
Last Update Date
2017-09-27
Business Address
HAILEY BLACKSTOCK BCBA
1389 WEBER INDUSTRIAL DR
CUMMING, GA 30041-6468
Phone number: 770-886-6204
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Mailing Address
HAILEY BLACKSTOCK BCBA
352 MILL COVE DR
DAHLONEGA, GA 30533-7617
Phone number:
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