Most Relevant Information
Provider Data
| NPI Number: | 1003509712 |
| Provider Name: | IVANE VANIA BAKER CONNER |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/30/2023 |
| Last Updated: | 05/30/2023 |
Provider Practice Location
4920 ROSWELL RD STE 1
ATLANTA
GA
303422684
Practice Location Phone/Fax
| Phone: | 4702584050 |
| Fax: |
Provider Mailing Location
4920 ROSWELL RD STE 1
ATLANTA
GA
303422684
Provider Mailing Phone/Fax
| Phone: | 4702584050 |
| Fax: |