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1831927524
INDIVIDUAL
MARIETTA, GA
NPI
1831927524
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Entity Type
Organization
Authorized Contact
MIRIAN BRENICK
Behavior Technician
334-739-3557
Organization Subpart ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-07-24
Last Update Date
2024-07-30
Business Address
INDIVIDUAL
750 FRANKLIN GTWY SE APT 21B750
MARIETTA, GA 30067-7807
Phone number: 334-739-3557
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Mailing Address
INDIVIDUAL
750 FRANKLIN GTWY SE APT 21B
MARIETTA, GA 30067-7810
Phone number:
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