Individual
MARIANNA BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
220 RIVER ST, BAINBRIDGE, GA 39817-3654
(229) 495-3005
(229) 495-3018
Mailing address
648 OLD DAMASCUS RD, COLQUITT, GA 39837-6405
(205) 706-4171
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-74658
GA
Other
Enumeration date
05/27/2021
Last updated
08/06/2024
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