Individual
SHAKEJA KAZIA GAFFNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 BROOKSTONE CENTRE PKWY BLDG 200, COLUMBUS, GA 31904-4559
(762) 390-0017
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12154081
GA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/11/2019
Last updated
10/21/2021
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