Individual
MS. FELICIA ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
119 CANAL ST STE 102, POOLER, GA 31322-4094
(912) 330-7171
(888) 413-4567
Mailing address
119 CANAL ST STE 102, POOLER, GA 31322-4094
(912) 330-7171
(888) 413-4567
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-17-34423
GA
Other
Enumeration date
12/27/2017
Last updated
12/27/2017
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