Individual
MRS. BRENDA NICHOL WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCB
Contact information
Practice address
100 COMMERCE CT, POOLER, GA 31322-9445
(615) 560-6622
Mailing address
109 SADDLEBRUSH RD, ELLABELL, GA 31308-7404
(423) 863-1412
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-59948
—
Other
Enumeration date
02/08/2024
Last updated
02/08/2024
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