Individual
CARLY B MASSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. BCBA
Contact information
Practice address
3338 TRICKUM RD, WOODSTOCK, GA 30188-4242
(470) 472-0039
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-58793
GA
Other
Enumeration date
09/06/2022
Last updated
07/24/2023
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