| Gold Standard Behavior Change Services | |
|
1704 Iris St Adel GA 31620-1213 | |
| (229) 507-7156 | |
| Not Available |
| Full Name | Gold Standard Behavior Change Services |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1704 Iris St, Adel, Georgia |
| Authorized Official Name and Position | Bonnie Watson (OWNER) |
| Authorized Official Contact | 2295077156 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gold Standard Behavior Change Services 1704 Iris St Adel GA 31620-1213 Ph: (229) 507-7156 | Gold Standard Behavior Change Services 1704 Iris St Adel GA 31620-1213 Ph: (229) 507-7156 |
| NPI Number | 1912689530 |
|---|---|
| Provider Enumeration Date | 08/03/2023 |
| Last Update Date | 08/03/2023 |
| Certification Date | 08/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912689530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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