Individual
AIDEN ISAIAH INMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT,PCT
Contact information
Practice address
4143 COLUMBIA RD STE B, AUGUSTA, GA 30907-5405
(706) 755-2785
(706) 755-2783
Mailing address
4143 COLUMBIA RD STE B, AUGUSTA, GA 30907-5405
(706) 755-2785
(706) 755-2783
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
24-394228
GA
Other
Enumeration date
11/21/2024
Last updated
11/21/2024
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