Individual
KIMBERLY BROGDON WALDROP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2755 CARROLLTON HWY, TEMPLE, GA 30179-4920
(404) 275-0514
Mailing address
2755 CARROLLTON HWY, TEMPLE, GA 30179-4920
(404) 275-0514
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-26975
—
Other
Enumeration date
10/17/2017
Last updated
10/17/2017
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