Individual
MAKAYLA MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
103 GA HIGHWAY 27 E, AMERICUS, GA 31709-3800
(229) 596-1115
Mailing address
103 GA HIGHWAY 27 E, AMERICUS, GA 31709-3800
(229) 596-1115
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-74049
GA
Other
Enumeration date
08/25/2021
Last updated
07/09/2024
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