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Individual

AUSTIN LEE DEVONSHIRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RBT

Contact information

Practice address
3623 CALVIN DR, COLUMBUS, GA 31904-7915
(706) 940-5100
(762) 208-7512
Mailing address
136 WAYSIDE AVE, COLUMBUS, GA 31907-6323
(334) 390-1313

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-212673
GA

Other

Enumeration date
02/17/2023
Last updated
03/21/2023
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