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Individual

A'SHANI NAKHIYA BURKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1559 JANMAR RD, SNELLVILLE, GA 30078-5606
(770) 336-7373
Mailing address
1559 JANMAR RD, SNELLVILLE, GA 30078-5606

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT24321449
GA

Other

Enumeration date
01/22/2024
Last updated
01/22/2024
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