Individual
XZAVION WILLIAM BARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3110 GALLERY WALK, SNELLVILLE, GA 30039-4737
(404) 948-8914
Mailing address
3110 GALLERY WALK, SNELLVILLE, GA 30039-4737
(404) 948-8914
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109480526-00
—
GA
Enumeration date
05/13/2022
Last updated
05/13/2022
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