MEDICARE: HEATHER ARD BCBA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst	1-26-88851	GA

General Provider Information

NPI Number	:	1790627305
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER ARD BCBA

Provider Business Mailing Address
First Line	:	2 BROTHERS LN APT 209
Second Line	:
City	:	DALTON
State	:	GA
Zip	:	30720-7333
Country	:	US
Telephone Number	:	470-473-5920
Fax Number	:	888-979-8504

Provider Business Practice Location Address
First Line	:	703 CURTIS PKWY SE
Second Line	:
City	:	CALHOUN
State	:	GA
Zip	:	30701-3677
Country	:	US
Telephone Number	:	470-473-5920
Fax Number	:	888-979-8504

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/06/2026
Last Update Date	:	04/06/2026

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