DESTIN MIZELLE

NEWNAN, GA
NPI1619539277
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: GA  RBT-19-91537)
Enumeration Date2019-07-03
Last Update Date2019-07-03
Business Address
DESTIN MIZELLE
225 MILLARD FARMER IND BLVD STE 100
NEWNAN, GA 30263-3168
Phone number: 470-400-3177
Mailing Address
DESTIN MIZELLE
10175 FORTUNE PKWY UNIT 903
JACKSONVILLE, FL 32256-6755
Phone number: 904-538-0713
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