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Organization

UGA APPLIED BEHAVIOR ANALYSIS CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHANNON LEIGH WYNNE M.ED., BCBA (BEHAVIOR ANALYST II)
(770) 827-2410
Entity
Organization

Contact information

Practice address
546 ADERHOLD HALL, ATHENS, GA 30602-0001
(706) 369-4012
Mailing address
546 ADERHOLD HALL, ATHENS, GA 30602-0001
(706) 369-4012

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
10/23/2018
Last updated
08/11/2022
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