DEHAZARD ALLEN III BCBA
Individual Provider (NPI-1)
Active
Behavior Analyst
Provider Information
- NPI Number
1669892527- Provider Type
- Individual Provider (NPI-1)
- Credentials
- BCBA
- Status
- Active
Contact & Location
- Address
- 4931 RIVERSIDE DR STE 400A, MACON, GA, 312101195
- Phone
- (478) 219-7626
- Fax
- (317) 520-8200
Specialties & Taxonomies
Behavior Analyst
Primary License: GA #1-14-9932