Individual
CASEY MAHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1290 COUNTRY LANE WAY NE, CONYERS, GA 30012-2214
(310) 938-9597
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
(310) 938-9597
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-24-15055
GA
Other
Enumeration date
02/21/2020
Last updated
12/23/2024
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