Individual
CAROLINE IRVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
77 W FAIRMONT AVE, SAVANNAH, GA 31406-3450
(404) 519-8216
Mailing address
94 NELSON DR, RICHMOND HILL, GA 31324-3681
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA001084
GA
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/09/2020
Last updated
03/02/2026
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