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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JAEANNA LEE DIVINE BURRELL

Active Sole Proprietor

Behavior Technician · DULUTH, GA

Registration Details

NPI Number
1225760507
Provider Type
Individual
Gender
Female
NPI Issued
Jun 27, 2022 (3.8169080477356 yrs)
Last Updated
Jun 27, 2022
Sole Proprietor
Yes

Practice Information

Address
2810 PREMIERE PKWY STE 500
DULUTH, GA, 300978912
Browse GA providers · Browse ZIP 30097
Phone
4702070390
Primary Specialty
Behavior Technician
106S00000X

Other Behavior Technician Providers in DULUTH, GA

Name Credential NPI
ALISHA CRISWELL RBT 1952847790
ANGELIQUE FLOYD RBT 1902301666
OMOLARA JAJI 1689162208
MS. KELLI RENEE HAWKINS RBT 1538651609
ASHLEY NICOLE THOMPSON 1750859211
ANGELENA ALEXIS GRANT 1750851374
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.