Individual
MIQUIA LIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4035 JOHNS CREEK PKWY, STE B, SUWANEE, GA 30024
(770) 881-7585
Mailing address
4035 JOHNS CREEK PKWY, STE B, SUWANEE, GA 30024
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-84935
GA
Other
Enumeration date
04/23/2024
Last updated
12/30/2025
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