Daniel Thomas Avendano Powers
Behavior Technician in Stockbridge, GA. Individual provider (NPI-1).
NPI number1568065571
StatusActive
Last updated in NPPESAug 18, 2021
Details
- NPI
- 1568065571
- Entity type
- Individual (NPI-1)
- Name
- Daniel Thomas Avendano Powers
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 20, 2020
- Certification date
- Aug 18, 2021
- Last updated
- Aug 18, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
115 N Park Trl Ste 123Stockbridge, GA 30281-7373
Phone 470-491-2050 · Fax 470-480-2371
Mailing address
115 N Park Trl Ste 123Stockbridge, GA 30281-7373
Phone 470-491-2050 · Fax 470-480-2371
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