Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103K00000X | Behavior Analyst | 1991163 | GA |
Y | 103K00000X | Behavior Analyst | BACB502654 | GA |
NPI | 1003415340 |
---|---|
Provider Name | Laurel Savelli |
First Address | Stuart, FL 34997-7462 |
Second Address | Atlanta, GA 30303-1292 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/10/2020 |
Last Update Date | 06/12/2021 |