Individual
DEBORAH HODGDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
128 MARKET LN, CANTON, GA 30114-4547
(571) 379-0345
Mailing address
128 MARKET LN, CANTON, GA 30114-4547
(571) 379-0345
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-15045
WV
Other
Enumeration date
11/05/2013
Last updated
04/27/2017
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