Olivia J Mack

NPI #1013773753 in Augusta, Georgia

Provider Information

NPI Number: 1013773753
Entity Type: Individual
Name: Olivia J Mack
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Enumeration Date: Feb 21, 2024
Last Updated: Feb 21, 2024

Practice Location

Address: 1195 BROOKSTONE WAY
City: Augusta
State: Georgia
ZIP Code: 30909-5656
Phone: (912) 755-1554

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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