Individual
ELIZABETH SHEA BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1155 HEMBREE RD STE 210, ROSWELL, GA 30076-4635
(770) 250-0093
Mailing address
1632 BRANCH CREEK CV, LAWRENCEVILLE, GA 30043-3273
(770) 601-1715
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11728611
—
Other
Enumeration date
08/20/2018
Last updated
08/20/2018
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