Individual
CHERYL C WEEMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
409 HIGHLAND AVE, SUMMERVILLE, GA 30747-1921
(706) 676-3706
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
(855) 832-6727
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-198467
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1214
—
GA
Enumeration date
01/15/2022
Last updated
01/18/2022
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