Individual
ALICIA ANTOINETTE SHAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16301 SAINT JAMES DR # 16301, CONYERS, GA 30094-1227
(943) 265-3543
(943) 265-3543
Mailing address
16301 SAINT JAMES DR # 16301, CONYERS, GA 30094-1227
(943) 265-3543
(943) 265-3543
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/10/2025
Last updated
04/10/2025
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