MRS. Earlissa Bourne

NPI #1407433394 in Columbus, Georgia

Provider Information

NPI Number: 1407433394
Entity Type: Individual
Name: MRS. Earlissa Bourne
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Mar 26, 2021
Last Updated: Nov 26, 2025

Practice Location

Address: 6100 VETERANS PKWY STE 11
City: Columbus
State: Georgia
ZIP Code: 31909-3514
Phone: (706) 221-8966

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary
Behavior Technician	106S00000X

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