Individual
ADAUNTE BIVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 COMMERCE CT, POOLER, GA 31322-9445
(615) 560-6622
Mailing address
1238 ESTATES WAY, POOLER, GA 31322-3306
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
RBT-22-236142
—
Other
Enumeration date
10/07/2025
Last updated
12/02/2025
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