Individual
STELLA NAGWA SIKOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4590 SAGEBRUSH CT, SNELLVILLE, GA 30039-2507
(678) 499-2411
Mailing address
4590 SAGEBRUSH CT, SNELLVILLE, GA 30039-2507
(678) 499-2411
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
23-318933
GA
Other
Enumeration date
01/11/2024
Last updated
01/11/2024
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