Jayla Moon

NPI #1104595438 in Buford, Georgia

Provider Information

NPI Number: 1104595438
Entity Type: Individual
Name: Jayla Moon
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 9, 2021
Last Updated: Sep 9, 2021

Practice Location

Address: 5328 LANIER ISLANDS PKWY # 101
City: Buford
State: Georgia
ZIP Code: 30518-9071
Phone: (470) 655-1970

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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