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Individual

ASHLEY KING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
1133 13TH ST, COLUMBUS, GA 31901-2248
(706) 225-0101
Mailing address
1133 13TH ST, COLUMBUS, GA 31901-2248
(706) 225-0101

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-157875
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RBT-21-157875
REGISTERED BEHAVIOR TECHNICIAN
GA
Enumeration date
03/01/2021
Last updated
03/01/2021
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