Individual
MISS LISA MARIE NALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA
Contact information
Practice address
125 PROFESSIONAL PARK DR, CLARKESVILLE, GA 30523-5524
(734) 626-0769
Mailing address
125 PROFESSIONAL PARK DR, CLARKESVILLE, GA 30523-5524
(734) 626-0769
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/02/2017
Last updated
09/23/2024
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