Individual
WILLIAM AUTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
800 TOWNE PARK DR, RINCON, GA 31326-5156
(912) 556-0101
Mailing address
41 PACELLA PARK DR, RANDOLPH, MA 02368-1755
(781) 437-0791
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB471524
GA
106S00000X
Behavior Technician
RBT-18-73646
—
Other
Enumeration date
12/18/2018
Last updated
10/28/2022
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