Individual
ELLEN LYNN AVERY-MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
785 KING GEORGE BLVD STE 103, SAVANNAH, GA 31419-8376
(931) 252-0040
Mailing address
578 LEE RD, PEMBROKE, GA 31321-8329
(864) 325-2530
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0-19-9996
—
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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