| Wetherald Behavioral Consulting, Inc | |
|
2411 Westgate Dr Albany GA 31707-2225 | |
| (229) 343-2573 | |
| (833) 536-1738 |
| Full Name | Wetherald Behavioral Consulting, Inc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2411 Westgate Dr, Albany, Georgia |
| Authorized Official Name and Position | Danielle Wetherald (OWNER) |
| Authorized Official Contact | 2293432572 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wetherald Behavioral Consulting, Inc Po Box 70301 Albany GA 31708-0301 Ph: (229) 343-2572 | Wetherald Behavioral Consulting, Inc 2411 Westgate Dr Albany GA 31707-2225 Ph: (229) 343-2573 |
| NPI Number | 1336893379 |
|---|---|
| Provider Enumeration Date | 02/08/2022 |
| Last Update Date | 02/08/2022 |
| Certification Date | 01/31/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336893379 | NPI | - | NPPES |
| 003236365B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
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