Tera Lavern Banks

NPI #1053989418 in Canton, Georgia

Provider Information

NPI Number
1053989418
Entity Type
Individual
Name
Tera Lavern Banks
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
Jun 14, 2021
Last Updated
Jun 14, 2021

Practice Location

Address
535 RIVERSTONE PKWY STE 101
City
Canton
State
Georgia
ZIP Code
30114-2566
Phone
(470) 863-3090

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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