Provider Demographics
NPI:1093243610
Name:BOND, KARL ANDREW (BA, CPS-WH)
Entity Type:Individual
Prefix:
First Name:KARL
Middle Name:ANDREW
Last Name:BOND
Suffix:
Gender:M
Credentials:BA, CPS-WH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 E FURLOW ST
Mailing Address - Street 2:
Mailing Address - City:AMERICUS
Mailing Address - State:GA
Mailing Address - Zip Code:31709-4031
Mailing Address - Country:US
Mailing Address - Phone:229-924-2430
Mailing Address - Fax:229-924-2432
Practice Address - Street 1:302 E FURLOW ST
Practice Address - Street 2:
Practice Address - City:AMERICUS
Practice Address - State:GA
Practice Address - Zip Code:31709-4031
Practice Address - Country:US
Practice Address - Phone:229-924-2430
Practice Address - Fax:229-924-2432
Is Sole Proprietor?:No
Enumeration Date:2017-05-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst