Individual
DANIELLE SHIVER WETHERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2411 WESTGATE DR, ALBANY, GA 31707-2225
(229) 461-5926
(833) 536-1738
Mailing address
PO BOX 70301, ALBANY, GA 31708-0301
(229) 343-2572
(833) 536-1738
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/26/2018
Last updated
01/13/2022
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