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Individual

HEATHER BIRD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
105 GRAND CENTRAL BLVD STE 101, POOLER, GA 31322-4146
(866) 610-0580
(407) 588-6294
Mailing address
300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 32746-5028
(866) 610-0580

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
106S00000X
Behavior Technician
8679
TX

Other

Enumeration date
09/18/2017
Last updated
05/04/2021
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