Individual
ELIZABETH BACIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2301 AIRPORT THRUWAY STE E6, COLUMBUS, GA 31904-3531
(706) 341-1434
(706) 341-3521
Mailing address
2301 AIRPORT THRUWAY STE E6, COLUMBUS, GA 31904-3531
(706) 341-1434
(706) 341-3521
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-60833
GA
106S00000X
Behavior Technician
RBT-19-84634
NC
Other
Enumeration date
04/22/2019
Last updated
06/29/2026
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