OCTAVIA COLLIE
Individual Provider (NPI-1)
Active
Behavior Technician
Provider Information
- NPI Number
1194329805- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 3850 HOLCOMB BRIDGE RD STE 180-185, PEACHTREE CORNERS, GA, 300925223
- Phone
- (813) 467-9280
Specialties & Taxonomies
Behavior Technician
Primary License: GA