Dominic Stephan Padgett, BCBA

NPI #1083446009 in Powder Springs, Georgia

Provider Information

NPI Number: 1083446009
Entity Type: Individual
Name: Dominic Stephan Padgett, BCBA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Credential: BCBA
Enumeration Date: Aug 19, 2024
Last Updated: Aug 19, 2024

Practice Location

Address: 5077 DALLAS HWY STE 301
City: Powder Springs
State: Georgia
ZIP Code: 30127-4510
Phone: (770) 763-8592

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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