Larryesha Stayton

NPI #1013793835 in Conyers, Georgia

Provider Information

NPI Number: 1013793835
Entity Type: Individual
Name: Larryesha Stayton
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 6, 2023
Last Updated: Sep 12, 2023

Practice Location

Address: 1143 WEST AVE SW
City: Conyers
State: Georgia
ZIP Code: 30012-5280
Phone: (470) 998-2467

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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