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Contact Information

AMERISS DUDLEY
113 CREEKRIDGE DRIVE, LEESBURG, GA 31763-7001
LEESBURG, GA31763
 Phone: 904-638-6388
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Technician

106S00000X
Indicates primary specialty

NPI Profile & details for AMERISS DUDLEY · (Female)

NPI Number 1699475632
Status Active
Credentials
Entity Individual
Enumeration date 03/08/2023
Last updated 03/08/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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