Individual
ANASTON CARLIE BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2041 OLD HIGHWAY 337, MENLO, GA 30731-6612
(706) 844-3507
Mailing address
2041 OLD HIGHWAY 337, MENLO, GA 30731-6612
(706) 844-3507
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-329307
GA
Other
Enumeration date
03/01/2024
Last updated
03/01/2024
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