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Individual

ASHLEY CARRIGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
112 FEN WAY, PEACHTREE CITY, GA 30269-2936
(678) 626-0557
Mailing address
112 FEN WAY, PEACHTREE CITY, GA 30269-2936
(678) 626-0557

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-35634
GA
251C00000X
Developmentally Disabled Services Day Training Agency
252Y00000X
Early Intervention Provider Agency

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003227587C
GA
Enumeration date
09/17/2015
Last updated
08/28/2023
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