Individual
AUTUMN S TAPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
107 WEATHERSTONE DR STE 530, WOODSTOCK, GA 30188-7006
(770) 591-9552
(800) 218-8249
Mailing address
107 WEATHERSTONE DR STE 530, WOODSTOCK, GA 30188-7006
(770) 591-9552
(800) 218-8249
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-253986
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-23-253986
BEHAVIOR ANALYSIS CERTIFICATION BOARD
—
Enumeration date
01/27/2023
Last updated
01/27/2023
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