TIA CHALISE PENN-TABOR

NEWNAN, GA
NPI1588259238
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
(Licence: GA  RBT-21-153537)
Enumeration Date2021-03-04
Last Update Date2021-03-04
Business Address
TIA CHALISE PENN-TABOR
112 JEFFERSON ST
NEWNAN, GA 30263
Phone number: 877-288-4760
Mailing Address
TIA CHALISE PENN-TABOR
112 JEFFERSON ST
NEWNAN, GA 30263
Phone number:
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