Individual
HEATHER LYNN BODREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7330 LYNCH RD, MIDLAND, GA 31820-4010
(478) 391-1298
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-329303
GA
Other
Enumeration date
04/11/2024
Last updated
04/11/2024
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