Individual
KARSON LEIGH GAVANDITTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1415 HONEYSUCKLE RD STE 1, DOTHAN, AL 36305-1922
(334) 446-4799
Mailing address
2410 COUNTY ROAD 651, CHANCELLOR, AL 36316-7014
(334) 446-4799
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1379934
AL
Other
Enumeration date
09/25/2025
Last updated
09/25/2025
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