Most Relevant Information
Provider Data
| NPI Number: | 1003447988 |
| Provider Name: | ANTONY SERTICCHIO RBT |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/30/2020 |
| Last Updated: | 06/06/2023 |
Provider Practice Location
4106 COLUMBIA RD STE 101
AUGUSTA
GA
309071482
Practice Location Phone/Fax
| Phone: | 7064260583 |
| Fax: |
Provider Mailing Location
4106 COLUMBIA RD STE 101
AUGUSTA
GA
309071482
Provider Mailing Phone/Fax
| Phone: | 7064260583 |
| Fax: |