Kelly Marie Brister

NPI #1134008584 in Lithonia, Georgia

Provider Information

NPI Number: 1134008584
Entity Type: Individual
Name: Kelly Marie Brister
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 29, 2025
Last Updated: Aug 29, 2025

Practice Location

Address: 5461 HILLANDALE DR STE 100
City: Lithonia
State: Georgia
ZIP Code: 30058-4842
Phone: (470) 737-3768

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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