MIEKA MATTIE KRISTIA GILLESPIE

FAYETTEVILLE, GA
NPI1871108696
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: GA  RBT-19-101044)
Enumeration Date2020-09-09
Last Update Date2020-09-09
Business Address
MIEKA MATTIE KRISTIA GILLESPIE BS
126 PAVILION PKWY
FAYETTEVILLE, GA 30214-4056
Phone number: 770-954-8988
Mailing Address
MIEKA MATTIE KRISTIA GILLESPIE BS
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885