| Illuminating Behavior | |
|
5547 Veterans Pkwy Columbus GA 31904-4484 | |
| (906) 322-9767 | |
| Not Available |
| Full Name | Illuminating Behavior |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5547 Veterans Pkwy, Columbus, Georgia |
| Authorized Official Name and Position | Aly Marie St. Ours (OWNER/CEO) |
| Authorized Official Contact | 9063229767 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Illuminating Behavior 5547 Veterans Pkwy Columbus GA 31904-4484 Ph: (906) 322-9767 | Illuminating Behavior 5547 Veterans Pkwy Columbus GA 31904-4484 Ph: (906) 322-9767 |
| NPI Number | 1750138905 |
|---|---|
| Provider Enumeration Date | 05/06/2024 |
| Last Update Date | 05/08/2024 |
| Certification Date | 05/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750138905 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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