NPI 1114361292

Candice Nicole Hall

Practitioner Behavior Analyst Martinez, GA

Practice location

Address: 3706 Executive Center Dr Suite a, Martinez, GA 30907-0958
Phone: (706) 863-9699
Mailing address: 10175 Fortune Pkwy Unit 903, Jacksonville, FL 32256-6746

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 1-13-12835

Other Behavior Analyst providers in Georgia →

Registry record

NPI: 1114361292
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Apr 2013
Record last updated: 19 Apr 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.