Individual
GEORGIA BEAUREGARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1435 MERIDIAN ST SE, ATLANTA, GA 30317-1725
(770) 268-3909
Mailing address
1435 MERIDIAN ST SE, ATLANTA, GA 30317-1725
(770) 268-3909
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-23698
GA
Other
Enumeration date
12/13/2016
Last updated
01/09/2024
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