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1669957320
CHANTELLE S FULLER
LAWRENCEVILLE, GA
NPI
1669957320
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: GA 1-18-31744)
Enumeration Date
2018-09-28
Last Update Date
2019-10-21
Business Address
CHANTELLE S FULLER BCBA
805 DONINGTON CIR
LAWRENCEVILLE, GA 30045
Phone number: 770-371-9984
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Mailing Address
CHANTELLE S FULLER BCBA
805 DONINGTON CIR
LAWRENCEVILLE, GA 30045-3579
Phone number: 770-371-9984
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