Individual
MRS. EMILY RHODES AVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., BCBA
Contact information
Practice address
3623 CALVIN DR, COLUMBUS, GA 31904-7915
(706) 940-5100
(706) 221-5232
Mailing address
3623 CALVIN DR, COLUMBUS, GA 31904-7915
(706) 940-5100
(762) 208-7512
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-68627
GA
106S00000X
Behavior Technician
RBT-19-98792
GA
Other
Enumeration date
09/10/2019
Last updated
10/10/2023
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