Individual
MR. BASE F. COMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
4281 WOODWARD WALK LN, BUFORD, GA 30024
(678) 548-7266
Mailing address
4281 WOODWARD WALK LN, BUFORD, GA 30024
(678) 548-7266
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB670543
GA
Other
Enumeration date
05/01/2021
Last updated
05/01/2021
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