Individual
ALICIA YOSHIMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3706 EXECUTIVE CENTER DR, SUITE A, MARTINEZ, GA 30907-0958
(904) 538-0713
(904) 538-0714
Mailing address
5549 CONNOR DR STE 903, EVANS, GA 30809-6164
(808) 699-9810
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-19614
GA
Other
Enumeration date
10/12/2015
Last updated
03/25/2020
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