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Organization

WETHERALD BEHAVIORAL CONSULTING, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DANIELLE WETHERALD BCBA (OWNER)
(229) 343-2572
Entity
Organization

Contact information

Practice address
2411 WESTGATE DR, ALBANY, GA 31707-2225
(229) 343-2573
(833) 536-1738
Mailing address
PO BOX 70301, ALBANY, GA 31708-0301
(229) 343-2572

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
225X00000X
Occupational Therapist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003236365B
GA
Enumeration date
02/08/2022
Last updated
02/08/2022
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