Individual
AYANA J MCLEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
413 W MONTGOMERY CROSS RD STE 600, SAVANNAH, GA 31406-3364
(615) 560-6622
Mailing address
506 OGLETHORPE CT, POOLER, GA 31322-3690
(910) 554-8019
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110026265E
—
MA
Enumeration date
10/03/2022
Last updated
01/15/2025
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