Individual
BRADEN WILLIAM FUHRIMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
408 BEDELL AVE, WOODBINE, GA 31569-3585
(912) 409-7889
Mailing address
114 TAMARIND CT, KINGSLAND, GA 31548-3249
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-250707
GA
Other
Enumeration date
01/11/2023
Last updated
01/11/2023
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