Search › Georgia › 106S00000X
Tawana Pruitt, MPA, RBT
NPI 1497318786 · on the registry since 2019 · sole proprietor
Practice
- Address
- 2193 Raven Cir
Lithonia, GA 30058 - Phone
- (678) 588-0605
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Also registered as
- 376K00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-08-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia