Individual
KIONNE A FEASTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, BCBA
Contact information
Practice address
7779 HYTHE CIR, CENTERVILLE, OH 45459-8704
(404) 514-1183
Mailing address
397 BARNSLEY DR, EVANS, GA 30809-8243
(404) 514-1183
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
01-08-4330
GA
Other
Enumeration date
10/16/2012
Last updated
04/15/2016
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