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1720731706
JADA RUSSELL
DECATUR, GA
NPI
1720731706
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
103K00000X Behavior Analyst
Enumeration Date
2022-01-31
Last Update Date
2022-02-22
Business Address
JADA RUSSELL
465 WINN WAY
DECATUR, GA 30030-1753
Phone number: 470-403-2830
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Mailing Address
JADA RUSSELL
465 WINN WAY
DECATUR, GA 30030-1753
Phone number:
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