NPI age
9 years
Enumerated 2017-04-25
Across 3228 active behavior analyst providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 | 1-15-19741 | BCBA CERTIFICATION # |
| 01 (GA) | 13995506 | CAQH ID# |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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