Individual
QUINTEDRA JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ASSISTANT BEHAVIOR
Contact information
Practice address
180 HIDDEN LAKES CT APT E2, MACON, GA 31204-5071
(478) 305-0668
Mailing address
180 HIDDEN LAKES CT APT E2, MACON, GA 31204-5071
(478) 305-0668
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
10/11/2024
Last updated
10/11/2024
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