Donivan Vincest Daniel

NPI #1497455166 in Buford, Georgia

Provider Information

NPI Number: 1497455166
Entity Type: Individual
Name: Donivan Vincest Daniel
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Mar 9, 2023
Last Updated: Mar 9, 2023

Practice Location

Address: 5328 LANIER ISLANDS PKWY UNIT 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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