Individual
COURTNI AMAYA WOODCOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
750 AVONDALE CREEK DR UNIT 209, DECATUR, GA 30032-8412
(210) 861-5458
Mailing address
750 AVONDALE CREEK DR UNIT 209, DECATUR, GA 30032-8412
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
GA
Other
Enumeration date
12/26/2023
Last updated
12/26/2023
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