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1770129876
MIRANDA JOHNSON
ATLANTA, GA
NPI
1770129876
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: GA RBT-18-58567)
Enumeration Date
2019-11-23
Last Update Date
2019-11-23
Business Address
MIRANDA JOHNSON RBT
4117 ALVESTON DR
ATLANTA, GA 30349-2737
Phone number: 404-977-0678
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Mailing Address
MIRANDA JOHNSON RBT
4117 ALVESTON DR
ATLANTA, GA 30349-2737
Phone number: 404-977-0678
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