Individual
MR. ADAM LEE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., BCBA
Contact information
Practice address
2824 HILLCREEK DR, AUGUSTA, GA 30909
(706) 826-2770
(706) 826-2771
Mailing address
2824 HILLCREEK DR, AUGUSTA, GA 30909-5628
(706) 826-2770
(706) 826-2771
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-31067
GA
Other
Enumeration date
06/26/2018
Last updated
06/26/2018
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