Individual
MRS. BROOKE LEEANNA PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
624 PONDER PLACE DR, EVANS, GA 30809-3343
(706) 863-9699
(706) 863-9263
Mailing address
624 PONDER PLACE DR, EVANS, GA 30809-3343
(706) 863-9699
(706) 863-9263
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-15677
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104270400
—
FL
Enumeration date
03/26/2014
Last updated
05/05/2026
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