Individual
CAROL DEFOREST BROWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1805 VINTAGE DR, SNELLVILLE, GA 30078-2271
(404) 580-8989
Mailing address
1805 VINTAGE DR, SNELLVILLE, GA 30078-2271
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-41771
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-20-41771
BCBA
—
Enumeration date
03/09/2020
Last updated
03/09/2020
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