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Lisa Achille

Behavior Technician in Douglasville, GA. Individual provider (NPI-1).

NPI number1750198560
StatusActive
Last updated in NPPESDec 16, 2024

Details

NPI
1750198560
Entity type
Individual (NPI-1)
Name
Lisa Achille
Sex
Female
Sole proprietor
No
Enumeration date
Dec 16, 2024
Certification date
Dec 15, 2024
Last updated
Dec 16, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

5546 Yeager Ridge Dr
Douglasville, GA 30135-4867

Phone 215-500-1863

Mailing address

5546 Yeager Ridge Dr
Douglasville, GA 30135-4867

Phone 215-500-1863

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