Individual
CANDICE BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1133 13TH ST, COLUMBUS, GA 31901-2248
(706) 225-0101
Mailing address
1133 13TH ST, COLUMBUS, GA 31901-2248
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-202866
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-22-202866
REGISTERED BEHAVIORAL TECHNICIAN
GA
Enumeration date
02/10/2022
Last updated
02/10/2022
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