Organization
PEDIATRIC BEHAVIOR ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA GOSPER BCBA (OWNER)
(607) 621-5676
Entity
Organization
Contact information
Practice address
705 17TH ST STE 402, COLUMBUS, GA 31901-3516
(843) 338-0132
(706) 243-6459
Mailing address
627 WESTMORELAND RD, COLUMBUS, GA 31904-2866
(607) 621-5676
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/03/2025
Last updated
07/03/2025
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