Peaches Marie Peacock

NPI #1598548588 in Loganville, Georgia

Provider Information

NPI Number: 1598548588
Entity Type: Individual
Name: Peaches Marie Peacock
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 15, 2023
Last Updated: Aug 15, 2023

Practice Location

Address: 1474 STEPHENS POND VW
City: Loganville
State: Georgia
ZIP Code: 30052-8749
Phone: (175) 725-6452

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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