Most Relevant Information
Provider Data
| NPI Number: | 1003318643 |
| Provider Name: | RODRICKA FOREMAN |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | 18-49334 |
Most Important Dates
| Enumeration Date: | 02/28/2018 |
| Last Updated: | 02/28/2018 |
Provider Practice Location
6011 WATSON BLVD STE AND340
BYRON
GA
310086646
Practice Location Phone/Fax
| Phone: | 4782253880 |
| Fax: |
Provider Mailing Location
181 W PROFESSIONAL PARK CT STE 1
BOWLING GREEN
KY
421043250
Provider Mailing Phone/Fax
| Phone: | 2707779283 |
| Fax: | 2707779283 |