Individual
LASHAY MCIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
524 W VICTORY DR, SAVANNAH, GA 31405-1724
(912) 428-5063
Mailing address
524 W VICTORY DR, SAVANNAH, GA 31405-1724
(912) 428-5063
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
12331
SC
103K00000X
Behavior Analyst
Primary
MT013714
GA
Other
Enumeration date
10/11/2021
Last updated
10/11/2021
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