DESTINEE JACK

SNELLVILLE, GA
NPI1548936339
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: GA  RBT-21-180344)
Enumeration Date2021-08-20
Last Update Date2021-08-20
Business Address
DESTINEE JACK RBT
2059 SCENIC HWY N STE 101
SNELLVILLE, GA 30078-6141
Phone number: 470-327-9193
Mailing Address
DESTINEE JACK RBT
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885
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