Individual
EVELYN MARIA VILLAMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
833 HURRICANE SHOALS RD NE, LAWRENCEVILLE, GA 30043-4821
(833) 628-8476
(770) 200-1563
Mailing address
2715 RIDGE MANOR DR, DACULA, GA 30019-2779
(347) 603-4164
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-28585
GA
Other
Enumeration date
01/24/2018
Last updated
04/25/2023
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