Organization
THE CONNER GROUP FOR PEDIATRIC THERAPIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA CONNER BCBA (BOARD CERTIFIED BEHAVIOR ANALYST)
(229) 319-8910
Entity
Organization
Contact information
Practice address
218 CENTRAL AVE N, TIFTON, GA 31794-4345
(229) 396-5596
(229) 396-4971
Mailing address
218 CENTRAL AVE N, TIFTON, GA 31794-4345
(229) 396-5596
(229) 396-4971
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/09/2020
Last updated
04/09/2020
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