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Breon Cornelius, MA, BCBA

Behavior Analyst in Cumming, GA. Individual provider (NPI-1).

NPI number1801435151
StatusActive
Last updated in NPPESJan 3, 2020

Details

NPI
1801435151
Entity type
Individual (NPI-1)
Name
Breon Cornelius
Credential
MA, BCBA
Sex
Female
Sole proprietor
No
Enumeration date
Jan 3, 2020
Certification date
Jan 3, 2020
Last updated
Jan 3, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst1-19-40348–Yes

Practice location

703 Atlanta Rd
Cumming, GA 30040-2705

Phone 770-886-6204 · Fax 678-261-6421

Mailing address

1389 Weber Industrial Dr
Cumming, GA 30041-6468

Phone 770-886-6204 · Fax 678-261-6421

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