Individual
LISA BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
2225 BEMISS RD STE D, VALDOSTA, GA 31602-4819
(800) 832-9419
(855) 859-1671
Mailing address
611 LIMERICK RD, MIDWAY, GA 31320-7032
(912) 631-1657
(912) 303-8712
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RBT-15-05555
GA
Other
Enumeration date
08/28/2017
Last updated
10/13/2021
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