Jacquanda R Durden

NPI #1508453879 in Suwanee, Georgia

Provider Information

NPI Number: 1508453879
Entity Type: Individual
Name: Jacquanda R Durden
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 21, 2020
Last Updated: Dec 21, 2020

Practice Location

Address: 7360 MCGINNIS FERRY RD # 100
City: Suwanee
State: Georgia
ZIP Code: 30024-6603
Phone: (866) 523-4268

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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