Lynette Marie Beavers, BASS,MAED

NPI #1871063594 in Rockmart, Georgia

Provider Information

NPI Number: 1871063594
Entity Type: Individual
Name: Lynette Marie Beavers, BASS,MAED
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: BASS,MAED
Enumeration Date: Nov 26, 2018
Last Updated: Nov 26, 2018

Practice Location

Address: 126 SOUTHERN LN
City: Rockmart
State: Georgia
ZIP Code: 30153-6480
Phone: (770) 652-7663

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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