Individual
EMMA GRACE SWALLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15125 US 19 S # 359, THOMASVILLE, GA 31792-4853
(850) 860-2702
Mailing address
15125 US 19 S # 359, THOMASVILLE, GA 31792-4853
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-467041
FL
Other
Enumeration date
10/18/2025
Last updated
10/18/2025
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