Individual provider · NPI-1
Clarissa Monique Flanders, RBT
Behavior Technician · Dublin, GA
NPI number1215724984
StatusActive
Last updated in NPPESApr 24, 2025
Details
- NPI
- 1215724984
- Entity type
- Individual (NPI-1)
- Name
- Clarissa Monique Flanders
- Credential
- RBT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 24, 2025
- Certification date
- Apr 24, 2025
- Last updated
- Apr 24, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
2973 Moore Station RdDublin, GA 31021-0878
Phone 478-206-7027
Mailing address
2973 Moore Station RdDublin, GA 31021-0878
Phone 478-206-7027
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