Individual
MRS. BONNIE MARIE WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
7778 VAL DEL RD, ADEL, GA 31620-6427
(229) 507-7156
Mailing address
7778 VAL DEL RD, ADEL, GA 31620-6427
(229) 507-7156
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
174H00000X
Health Educator
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/19/2012
Last updated
01/23/2016
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