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1528770666
MONTAGA MADDOX
LAWRENCEVILLE, GA
NPI
1528770666
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: GA RBT-23-261094)
Enumeration Date
2022-12-20
Last Update Date
2023-04-13
Business Address
MONTAGA MADDOX
2387 HUNTCREST WAY
LAWRENCEVILLE, GA 30043-8126
Phone number: 678-648-7644
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Mailing Address
MONTAGA MADDOX
6505 SHILOH RD STE 100
ALPHARETTA, GA 30005-1645
Phone number: 678-648-7644
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