Ameriss Dudley

NPI #1699475632 in Leesburg, Georgia

Provider Information

NPI Number: 1699475632
Entity Type: Individual
Name: Ameriss Dudley
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Mar 8, 2023
Last Updated: Mar 8, 2023

Practice Location

Address: 113 CREEKRIDGE DRIVE, LEESBURG, GA 31763-7001
City: Leesburg
State: Georgia
ZIP Code: 31763
Phone: (904) 638-6388

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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