Individual
EMILY BAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
156 MORGAN LN, ROCKMART, GA 30153-5805
(770) 530-9051
Mailing address
5451 ABLE CT, MOBILE, AL 36693-3100
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2017-098
AL
Other
Enumeration date
12/11/2012
Last updated
05/01/2024
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