Jatavius Denard Ponder

NPI #1063375251 in Lilburn, Georgia

Provider Information

NPI Number: 1063375251
Entity Type: Individual
Name: Jatavius Denard Ponder
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Dec 4, 2025
Last Updated: Dec 4, 2025

Practice Location

Address: 3993 LAWRENCEVILLE HWY NW STE 110
City: Lilburn
State: Georgia
ZIP Code: 30047-2831
Phone: (404) 407-5224

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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