Most Relevant Information
Provider Data
| NPI Number: | 1003666900 |
| Provider Name: | ANTHONY HAIRSTON RBT |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-24-322337 |
Most Important Dates
| Enumeration Date: | 03/25/2024 |
| Last Updated: | 03/25/2024 |
Provider Practice Location
1990 SURREY TRL
ATLANTA
GA
303493822
Practice Location Phone/Fax
| Phone: | 6786430252 |
| Fax: |
Provider Mailing Location
1990 SURREY TRL
ATLANTA
GA
303493822
Provider Mailing Phone/Fax
| Phone: | 6786430252 |
| Fax: |