| Beckhom Behavioral Consulting, Llc | |
|
1509 W 3rd Ave Albany GA 31707-3647 | |
| (229) 439-9951 | |
| (229) 439-9553 |
| Full Name | Beckhom Behavioral Consulting, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1509 W 3rd Ave, Albany, Georgia |
| Authorized Official Name and Position | Katrina Michelle Wilburn-beckhom (PROGRAM DIRECTOR) |
| Authorized Official Contact | 2294399951 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beckhom Behavioral Consulting, Llc Po Box 51293 Albany GA 31703-1293 Ph: (229) 439-9951 | Beckhom Behavioral Consulting, Llc 1509 W 3rd Ave Albany GA 31707-3647 Ph: (229) 439-9951 |
| NPI Number | 1619492253 |
|---|---|
| Provider Enumeration Date | 08/04/2017 |
| Last Update Date | 08/04/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619492253 | NPI | - | NPPES |
| 003183174A | Medicaid | GA | |
| 003179879B | Medicaid | GA | |
| 003179879C | Medicaid | GA |
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