Individual
I'YHANIA GABRIELLE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
5820 VETERANS PKWY STE 301, COLUMBUS, GA 31904-3471
(706) 905-5525
Mailing address
5820 VETERANS PKWY STE 301, COLUMBUS, GA 31904-3471
(334) 520-6723
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-73036
GA
106E00000X
Assistant Behavior Analyst
0-23-14830
AL
106S00000X
Behavior Technician
RBT-20-130731
AL
Other
Enumeration date
09/16/2020
Last updated
07/19/2024
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