Individual
AVA TALORICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7491 MOSSDALE WAY, COLUMBUS, GA 31909-1787
(850) 266-4697
Mailing address
1 CYPRESS PT W, PENSACOLA, FL 32514-7930
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-422732
GA
Other
Enumeration date
04/02/2025
Last updated
04/02/2025
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