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Individual

VIDUSHA KUMAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6849 PEACHTREE DUNWOODY RD, SANDY SPRINGS, GA 30328-1608
(470) 301-7446
Mailing address
5501 GLENRIDGE DR APT 224, ATLANTA, GA 30342-5030
(470) 301-7446

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-53750
GA
106S00000X
Behavior Technician
RBT-19-77020
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1-21-53750
BACB
GA
01
RBT-19-77020
RBT
GA
Enumeration date
07/09/2020
Last updated
11/15/2021
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