Individual
MARY TERESA GAINEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
2300 PARKWOOD DR, BRUNSWICK, GA 31520-4719
(912) 399-4247
(912) 574-5919
Mailing address
2300 PARKWOOD DR, BRUNSWICK, GA 31520-4719
(912) 399-4247
(912) 574-5919
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-51994
GA
106S00000X
Behavior Technician
RBT-20-119849
—
Other
Enumeration date
05/29/2020
Last updated
08/26/2021
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