Individual
ANDI MICHELLE DYCUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1110 13TH ST STE D, COLUMBUS, GA 31901-2246
(706) 780-1704
Mailing address
1110 13TH ST STE D, COLUMBUS, GA 31901-2246
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
39388
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-18-56636
RBT CERTIFICATION
TN
Enumeration date
10/10/2019
Last updated
10/10/2019
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