Individual
CODY ELIJAH BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 COMMERCE CT, POOLER, GA 31322-9445
(615) 560-6622
Mailing address
1475 BENTON BLVD APT 134, SAVANNAH, GA 31407-0470
(240) 731-9587
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
GA
Other
Enumeration date
02/14/2026
Last updated
02/14/2026
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