Individual
RACHELL BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1212 AUGUSTA WEST PKWY STE 1B, AUGUSTA, GA 30909-1808
(706) 826-2770
(706) 826-2771
Mailing address
1212 AUGUSTA WEST PKWY STE 1B, AUGUSTA, GA 30909-1808
(706) 826-2770
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-41583
—
106S00000X
Behavior Technician
RBT-17-42560
—
Other
Enumeration date
04/09/2018
Last updated
11/16/2020
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