Individual
VALENCIA NATAVIOUS MYRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3601 MERCER UNIVERSITY DR APT 1903, MACON, GA 31204-4992
(478) 874-8145
Mailing address
3601 MERCER UNIVERSITY DR, MACON, GA 31204-4900
(478) 874-8145
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
106E00000X
GA
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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