Individual
MARKETHA BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1237 AUGUSTA WEST PKWY, AUGUSTA, GA 30909-1807
(762) 685-4340
(762) 585-9965
Mailing address
7500 SAN FELIPE ST STE 990, HOUSTON, TX 77063-1708
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-64637
GA
Other
Enumeration date
08/26/2014
Last updated
12/04/2025
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