NPI age
5 years
Enumerated 2020-07-28
Across 3228 active behavior analyst providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 12582121 | BCBA |
| 01 (GA) | RBT-19-86489 | RBT |
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
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