Individual
MARIAH LYNNE AVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
188 ROBIN LN, BAINBRIDGE, GA 39819-6465
(229) 726-5311
(229) 231-3022
Mailing address
188 ROBIN LN, BAINBRIDGE, GA 39819-6465
(229) 726-5311
(229) 231-3022
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-29947
GA
103K00000X
Behavior Analyst
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Other
Enumeration date
06/08/2017
Last updated
01/10/2024
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