SearchGeorgia103K00000X

Naa Oden, BCBA, NCSP

NPI 1386068476 · on the registry since 2014 · sole proprietor

Practice

Address
4813 Ridge Rd Ste 111-639
Douglasville, GA 30134
Phone
(330) 622-3766
Fax
(404) 225-1840
Organisation at this address
Phoenix Wellness Group, Llc
Family Resource Center Tribe Of Judah Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Additional practice sites

  • 4813 Ridge Rd Ste 111-639, Douglasville, GA

Registry record

Primary taxonomy
103K00000X
103K00000X
Also registered as
103TS0200X
Licence states on file
OH, GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-07-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia