Individual
EMALINE ANDERSON
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) 208-4776
Mailing address
6600 FRANCE AVE S STE 350, EDINA, MN 55435-1810
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-275970
GA
Other
Enumeration date
05/31/2023
Last updated
07/06/2026
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