MONTAGA MADDOX

LAWRENCEVILLE, GA
NPI1528770666
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
(Licence: GA  RBT-23-261094)
Enumeration Date2022-12-20
Last Update Date2023-04-13
Business Address
MONTAGA MADDOX
2387 HUNTCREST WAY
LAWRENCEVILLE, GA 30043-8126
Phone number: 678-648-7644
Mailing Address
MONTAGA MADDOX
6505 SHILOH RD STE 100
ALPHARETTA, GA 30005-1645
Phone number: 678-648-7644