Individual
CARLEIGH ELIZABETH DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
112 JEFFERSON ST, NEWNAN, GA 30263-1421
(404) 610-3914
Mailing address
505 HAYWARD BISHOP WAY, SENOIA, GA 30276-1849
(404) 610-3914
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-212559
GA
Other
Enumeration date
04/19/2022
Last updated
04/19/2022
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