Individual
MONIKA GEORGIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
418 OLD FORGE RD, CHAPIN, SC 29036-9753
(919) 805-2098
Mailing address
418 OLD FORGE RD, CHAPIN, SC 29036-9753
(919) 805-2098
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-348281
CO
Other
Enumeration date
05/21/2024
Last updated
05/21/2024
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