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Eleesia Moragne

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

NPI number1629675855
StatusActive
Last updated in NPPESOct 1, 2020

Details

NPI
1629675855
Entity type
Individual (NPI-1)
Name
Eleesia Moragne
Sex
Female
Sole proprietor
No
Enumeration date
Oct 1, 2020
Certification date
Sep 28, 2020
Last updated
Oct 1, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

2387 Huntcrest Way
Lawrenceville, GA 30043

Phone 678-710-2324

Mailing address

2387 Huntcrest Way
Lawrenceville, GA 30043

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