Individual
MONTELVIS JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 596-5583
(706) 596-5589
Mailing address
439 28TH AVE, COLUMBUS, GA 31903-1308
(706) 573-0505
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/30/2008
Last updated
10/30/2008
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