Individual
ASYL NUKPI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1740 CENTURY CIR NE APT 1316, ATLANTA, GA 30345-3047
(404) 509-9044
Mailing address
1740 CENTURY CIR NE APT 1316, ATLANTA, GA 30345-3047
(404) 509-9044
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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