Individual
ASHLEY HEATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2704 N OAK ST BLDG A1, VALDOSTA, GA 31602-5901
(229) 474-4384
Mailing address
5655 EMILY LN, HAHIRA, GA 31632-3027
(912) 850-8424
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/07/2021
Last updated
06/08/2023
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