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Individual

MEREDITH E OUIMETTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, BCBA

Contact information

Practice address
335 PARKWAY 575, SUITE #220, WOODSTOCK, GA 30188-6433
(770) 591-9552
(770) 516-4191
Mailing address
PO BOX 1572, WOODSTOCK, GA 30188-1364
(770) 591-9552
(770) 516-4191

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-08-4001

Other

Enumeration date
11/07/2008
Last updated
11/07/2008
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