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Individual

GEORGIA ABIGAIL HALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
5000 THAYER CTR STE C, OAKLAND, MD 21550-1139
(804) 580-0783
Mailing address
840 FALLIN TOWN RD, WARSAW, VA 22572-3325
(804) 580-0783

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA969
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
333986600
MD
Enumeration date
04/01/2021
Last updated
04/01/2021
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