Individual
JACQUERIA GUNTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1110 13TH ST, COLUMBUS, GA 31901-2246
(706) 780-1704
Mailing address
2707 TUPELO DR, COLUMBUS, GA 31907-2726
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-69769
GA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/15/2021
Last updated
11/28/2023
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