Individual
BRAXTON YAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
408 W WASHINGTON AVE, NASHVILLE, GA 31639-2146
(229) 300-6735
Mailing address
4768 COPPAGE RD, HAHIRA, GA 31632-2500
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1108528
GA
Other
Enumeration date
04/29/2024
Last updated
04/29/2024
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