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1942900915
TIFFANY HOWARD BALKCOM
SOCIAL CIRCLE, GA
NPI
1942900915
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: GA 1-2368049)
Enumeration Date
2023-03-07
Last Update Date
2023-09-11
Business Address
Mrs. TIFFANY HOWARD BALKCOM BCBA
261 DOVE PL
SOCIAL CIRCLE, GA 30025-3068
Phone number: 140-499-4847
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Mailing Address
Mrs. TIFFANY HOWARD BALKCOM BCBA
261 DOVE PL
SOCIAL CIRCLE, GA 30025-3068
Phone number: 404-944-8472
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