Olivia J Mack Valid NPI
Individual provider · Behavior Analyst · Augusta, GA
- NPI
- 1013773753
- Type
- Individual (Type 1)
- Primary specialty
- Behavior Analyst
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 103K00000X
- License number
- 12367556 (GA)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2024-02-21
- Last updated
- 2024-02-21
Practice location
1195 Brookstone Way
Augusta, GA 30909-5656
(912) 755-1554