ATHENA MARIE ELLENBURG

VALDOSTA, GA
NPI1619550084
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: GA  RBT-20-148801)
Enumeration Date2021-05-03
Last Update Date2021-05-03
Business Address
ATHENA MARIE ELLENBURG
3121 N OAK STREET EXT
VALDOSTA, GA 31602-1099
Phone number: 800-832-9419
Mailing Address
ATHENA MARIE ELLENBURG
3121 N OAK STREET EXT
VALDOSTA, GA 31602-1099
Phone number: 800-832-9419
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