Individual
QUENTON ANTHONY PATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 596-5500
Mailing address
2100 COMER AVE, COLUMBUS, GA 31904-8725
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/16/2013
Last updated
12/16/2013
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