Individual
BRIDGET M ROYAL HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
613 TOWNE PARK DR W, RINCON, GA 31326-5182
(912) 657-4329
Mailing address
613 TOWNE PARK DR W, RINCON, GA 31326-5182
(912) 657-4329
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
RBT-15-01368
GA
Other
Enumeration date
04/05/2019
Last updated
12/10/2024
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