Prema Pervin, RBT
Behavior Technician in Alpharetta, GA. Individual provider (NPI-1).
NPI number1003437005
StatusActive
Last updated in NPPESApr 30, 2020
Details
- NPI
- 1003437005
- Entity type
- Individual (NPI-1)
- Name
- Prema Pervin
- Credential
- RBT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 30, 2020
- Certification date
- Apr 30, 2020
- Last updated
- Apr 30, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | 19-81172 | GA | Yes |
Practice location
6505 Shiloh Rd Ste 100Alpharetta, GA 30005-1645
Phone 678-648-7644
Mailing address
6505 Shiloh Rd Ste 100Alpharetta, GA 30005-1645
Phone 678-648-7644
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