Individual
GILLIAN CHANCE CAUDILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
315 BUCKINGHAM TER, ATHENS, GA 30607-1576
(706) 206-4293
Mailing address
315 BUCKINGHAM TER, ATHENS, GA 30607-1576
(706) 206-4293
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
11/27/2019
Last updated
11/27/2019
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