JAZZMIQUE MARIE LAKE

ATLANTA, GA
NPI1679183511
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103K00000X Behavior Analyst
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2020-08-05
Last Update Date2021-04-14
Business Address
JAZZMIQUE MARIE LAKE RBT
1215 HIGHTOWER TRL STE B120
ATLANTA, GA 30350-6205
Phone number: 866-523-4268
Mailing Address
JAZZMIQUE MARIE LAKE RBT
1215 HIGHTOWER TRL STE B120
ATLANTA, GA 30350-6205
Phone number:
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