Organization
MAGNOLIA BEHAVIOR SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTIE GILES BCBA (OWNER)
(205) 919-2517
Entity
Organization
Contact information
Practice address
1908 COLLEGE AVE, JACKSON, AL 36545-2415
(205) 919-2517
(251) 847-3080
Mailing address
PO BOX 415, CHATOM, AL 36518-0415
(205) 919-2517
(251) 847-3080
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/22/2025
Last updated
01/22/2025
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