| Pediatric Behavior Associates | |
|
705 17th St Ste 402 Columbus GA 31901-3516 | |
| (843) 338-0132 | |
| (706) 243-6459 |
| Full Name | Pediatric Behavior Associates |
|---|---|
| Speciality | Behavior Analyst |
| Location | 705 17th St Ste 402, Columbus, Georgia |
| Authorized Official Name and Position | Samantha Gosper (OWNER) |
| Authorized Official Contact | 6076215676 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Behavior Associates 627 Westmoreland Rd Columbus GA 31904-2866 Ph: (607) 621-5676 | Pediatric Behavior Associates 705 17th St Ste 402 Columbus GA 31901-3516 Ph: (843) 338-0132 |
| NPI Number | 1841180700 |
|---|---|
| Provider Enumeration Date | 07/03/2025 |
| Last Update Date | 07/03/2025 |
| Certification Date | 07/03/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841180700 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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