Individual
MRS. QUINICKA BRYANT-GHANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, BCBA
Contact information
Practice address
1237 AUGUSTA AVE, AUGUSTA, GA 30901-3201
(762) 685-4340
(762) 585-9965
Mailing address
300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 32746-5028
(866) 610-0580
(407) 588-6294
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/10/2012
Last updated
06/10/2022
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