Individual
APOORVA DASYAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 E GORDON ST, VALDOSTA, GA 31601-4552
(904) 619-8430
Mailing address
PO BOX 10827, TALLAHASSEE, FL 32302-2827
(850) 521-0242
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/03/2020
Last updated
12/20/2022
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