Individual
BAILEY WHITCOMB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2504 JOSEPH DR, COPPERAS COVE, TX 76522-7545
(912) 320-9629
Mailing address
2504 JOSEPH DR, COPPERAS COVE, TX 76522-7545
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-427337
IL
Other
Enumeration date
07/09/2025
Last updated
07/09/2025
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