Individual
SHAVONA ADDISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2550 TRADE CENTER DR STE G, EVANS, GA 30809-6167
(706) 723-8458
Mailing address
2550 TRADE CENTER DR STE G, EVANS, GA 30809-6167
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
03/16/2018
Last updated
02/03/2025
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