Autumn S Tapp

NPI #1366158818 in Woodstock, Georgia

Provider Information

NPI Number: 1366158818
Entity Type: Individual
Name: Autumn S Tapp
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jan 27, 2023
Last Updated: Jan 27, 2023

Practice Location

Address: 107 WEATHERSTONE DR STE 530
City: Woodstock
State: Georgia
ZIP Code: 30188-7006
Phone: (770) 591-9552

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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