Individual
MRS. BIANCA HEARD-JEMISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6361 TALOKAS LN STE C140-158, COLUMBUS, GA 31909-5642
(706) 223-4590
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-51545
GA
Other
Enumeration date
07/29/2019
Last updated
09/26/2022
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