Individual
EDALIZ O'BEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, BCBA
Contact information
Practice address
1213 PERKINS MILL RD, CLAXTON, GA 30417-6465
(737) 757-4074
Mailing address
1213 PERKINS MILL RD, CLAXTON, GA 30417-6465
(912) 567-5730
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-19-39527
GA
103K00000X
Behavior Analyst
Primary
1-19-39527
IL
103K00000X
Behavior Analyst
1-19-39527
—
Other
Enumeration date
03/07/2020
Last updated
04/19/2022
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