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India Dudley

Behavior Technician in Powder Springs, GA. Individual provider (NPI-1).

NPI number1063199735
StatusActive
Last updated in NPPESJul 3, 2023

Details

NPI
1063199735
Entity type
Individual (NPI-1)
Name
India Dudley
Sex
Female
Sole proprietor
No
Enumeration date
Jul 3, 2023
Certification date
Jul 3, 2023
Last updated
Jul 3, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

4587 Muirwood Cir
Powder Springs, GA 30127-4713

Phone 404-980-2077

Mailing address

4587 Muirwood Cir
Powder Springs, GA 30127-4713

Phone 404-980-2077

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