Durmond Lavell Glanton

NPI #1417763434 in Dacula, Georgia

Provider Information

NPI Number: 1417763434
Entity Type: Individual
Name: Durmond Lavell Glanton
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Dec 4, 2024
Last Updated: Dec 4, 2024

Practice Location

Address: 505 ROLAND MANOR DR
City: Dacula
State: Georgia
ZIP Code: 30019-6584
Phone: (470) 361-9936

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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