Individual
BIANCA EARL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4106 COLUMBIA RD STE 101, AUGUSTA, GA 30907-1482
(706) 426-0583
Mailing address
4106 COLUMBIA RD STE 101, AUGUSTA, GA 30907-1482
(706) 426-0583
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/29/2025
Last updated
05/29/2025
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