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1710559299
QUANTRELL DEVON FORTUNE
LITHONIA, GA
NPI
1710559299
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
Enumeration Date
2021-07-14
Last Update Date
2021-07-14
Business Address
QUANTRELL DEVON FORTUNE M. ED BCBA
1031 PALMER RD
LITHONIA, GA 30058-9083
Phone number: 770-547-4085
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Mailing Address
QUANTRELL DEVON FORTUNE M. ED BCBA
1031 PALMER RD
LITHONIA, GA 30058-9083
Phone number: 770-547-4085
Copy
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