Healthcare Provider Details
I. General information
NPI: 1760306427
Provider Name (Legal Business Name): FAITH WRIGHT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3131 LAWRENCEVILLE SUWANEE RD
SUWANEE GA
30024-2408
US
IV. Provider business mailing address
1400 MALL OF GEORGIA BLVD
BUFORD GA
30519-6593
US
V. Phone/Fax
- Phone: 404-890-6696
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 106S00000X |
| Taxonomy | Behavior Technician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: