| Richard L Knowles | |
|
219 Rose Dr Brunswick GA 31520-2933 | |
| (912) 242-3985 | |
| Not Available |
| Full Name | Richard L Knowles |
|---|---|
| Speciality | Behavior Analyst |
| Location | 219 Rose Dr, Brunswick, Georgia |
| Authorized Official Name and Position | Richard L Knowles (OWNER) |
| Authorized Official Contact | 9122423985 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard L Knowles 219 Rose Dr Brunswick GA 31520-2933 Ph: (912) 242-3985 | Richard L Knowles 219 Rose Dr Brunswick GA 31520-2933 Ph: (912) 242-3985 |
| NPI Number | 1215620497 |
|---|---|
| Provider Enumeration Date | 06/01/2023 |
| Last Update Date | 06/01/2023 |
| Certification Date | 05/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215620497 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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