Individual
ALEXANDRIA STAFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1133 13TH ST, COLUMBUS, GA 31901-2248
(251) 340-2020
Mailing address
1133 13TH ST, COLUMBUS, GA 31901-2248
(251) 340-2020
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-400474
GA
Other
Enumeration date
12/20/2024
Last updated
12/20/2024
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