Individual
HEATHER WHITESIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1700 FOUNTAIN CT, APT. 2501, COLUMBUS, GA 31904-1606
(727) 836-0771
Mailing address
1700 FOUNTAIN CT, APT. 2501, COLUMBUS, GA 31904-1606
(727) 836-0771
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-14644
CO
Other
Enumeration date
11/10/2013
Last updated
11/10/2013
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