Robin Celeste Boullion

NPI #1558951848 in Tyrone, Georgia

Provider Information

NPI Number: 1558951848
Entity Type: Individual
Name: Robin Celeste Boullion
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 21, 2021
Last Updated: Jan 21, 2021

Practice Location

Address: 1135 SENOIA RD
City: Tyrone
State: Georgia
ZIP Code: 30290-1625
Phone: (770) 626-3044

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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