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1649854803
DERRICK JONES PREJEAN
TUCKER, GA
NPI
1649854803
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-05-12
Last Update Date
2021-05-12
Business Address
Mr. DERRICK JONES PREJEAN RBT
3760 LAVISTA RD STE 102
TUCKER, GA 30084-5622
Phone number: 678-626-0557
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Mailing Address
Mr. DERRICK JONES PREJEAN RBT
760 GARDEN VIEW DR
STONE MOUNTAIN, GA 30083-3585
Phone number: 404-788-2854
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