Individual
RODRICK T WILBURN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2709 4TH AVE, COLUMBUS, GA 31904-8420
(706) 570-6530
Mailing address
2709 4TH AVE, COLUMBUS, GA 31904-8420
(706) 570-6530
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
056849402
GA
Other
Enumeration date
06/24/2026
Last updated
06/24/2026
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