Individual
DEMETRIA ANISE MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
512 MORSE AVE, MONTEZUMA, GA 31063-1252
(706) 496-7691
Mailing address
500 NORTHSIDE XING STE A, MACON, GA 31210-2377
(185) 583-2672
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
GA
Other
Enumeration date
12/02/2025
Last updated
12/02/2025
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