Individual
CHRISA ANN MARIE GAMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
205 WATERWOOD BND, PEACHTREE CITY, GA 30269-1718
(323) 420-9235
Mailing address
205 WATERWOOD BND, PEACHTREE CITY, GA 30269-1718
(323) 420-9235
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-41991
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922621036
—
GA
Enumeration date
05/22/2020
Last updated
04/03/2023
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