Individual
CHIRA SANDLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1110 13TH ST STE D, COLUMBUS, GA 31901-2246
(706) 780-1704
Mailing address
2050 COMMERCE ST, MILLBROOK, AL 36054-4212
(334) 290-5095
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-343924
AL
Other
Enumeration date
06/03/2024
Last updated
08/05/2024
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