Individual
CARLINE DIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6003 VETERANS PKWY STE 206, COLUMBUS, GA 31909-6200
(706) 905-5525
Mailing address
6003 VETERANS PKWY STE 206, COLUMBUS, GA 31909-6200
(706) 905-5525
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-30146
—
106E00000X
Assistant Behavior Analyst
RBT-21-193003
—
222Q00000X
Developmental Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003222696
—
GA
Enumeration date
07/03/2014
Last updated
10/18/2022
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