Individual
ANGELIA ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1110 13TH ST, COLUMBUS, GA 31901-2246
(706) 780-1704
Mailing address
1709 BUNKER HILL RD, COLUMBUS, GA 31907-6719
(229) 733-8762
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-81667
GA
Other
Enumeration date
05/26/2019
Last updated
05/26/2019
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