Individual
ELIZABETH COLBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
306 N MAIN ST STE 1A, HINESVILLE, GA 31313-2562
(912) 256-5799
(866) 467-4321
Mailing address
306 N MAIN ST STE 1A, HINESVILLE, GA 31313-2562
(912) 256-5799
(866) 467-4321
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-276288
GA
Other
Enumeration date
05/31/2023
Last updated
05/31/2023
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