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Individual

ASSATA ABAYOMI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3820 WILLOW RIDGE RD, DOUGLASVILLE, GA 30135-2785
(954) 225-9946
(954) 225-9946
Mailing address
3820 WILLOW RIDGE RD, DOUGLASVILLE, GA 30135-2785
(954) 225-9946
(954) 225-9946

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
05/04/2026
Last updated
05/04/2026
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