INDIVIDUAL

MARIETTA, GA
NPI1831927524
Entity TypeOrganization
Authorized ContactMIRIAN BRENICK
Behavior Technician
334-739-3557
Organization Subpart ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2024-07-24
Last Update Date2024-07-30
Business Address
INDIVIDUAL
750 FRANKLIN GTWY SE APT 21B750
MARIETTA, GA 30067-7807
Phone number: 334-739-3557
Mailing Address
INDIVIDUAL
750 FRANKLIN GTWY SE APT 21B
MARIETTA, GA 30067-7810
Phone number:
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