Individual
ALLYSON MARIE HAMPTON-PADILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
613 TOWNE PARK DR W STE 103, RINCON, GA 31326-9098
(912) 677-4292
Mailing address
6 FITZWATER RD, PORT WENTWORTH, GA 31407-6017
(609) 351-7134
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT19104790
GA
Other
Enumeration date
05/18/2021
Last updated
05/18/2021
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