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Individual

WHITLEY HOLCOMB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
2147 NEWNAN CROSSING BLVD E, NEWNAN, GA 30265-2406
(470) 241-1408
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-65190
GA
106S00000X
Behavior Technician
RBT-21-155118
GA

Other

Enumeration date
02/09/2021
Last updated
04/14/2023
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