Deidre Katrice Brantley

NPI #1902564248 in Americus, Georgia

Provider Information

NPI Number: 1902564248
Entity Type: Individual
Name: Deidre Katrice Brantley
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Dec 3, 2021
Last Updated: Dec 3, 2021

Practice Location

Address: 209 HABITAT ST
City: Americus
State: Georgia
ZIP Code: 31709-3472
Phone: (229) 591-0465

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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