Tawana Diane Pruitt, MPA, RBT

NPI #1497318786 in Lithonia, Georgia

Provider Information

NPI Number: 1497318786
Entity Type: Individual
Name: Tawana Diane Pruitt, MPA, RBT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Credential: MPA, RBT
Enumeration Date: Apr 22, 2019
Last Updated: Aug 16, 2020

Practice Location

Address: 2193 RAVEN CIR
City: Lithonia
State: Georgia
ZIP Code: 30058-1845
Phone: (678) 588-0605

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse's Aide	376K00000X
Behavior Technician	106S00000X	Primary

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