Individual
JALIYAH EISOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3993 LAWRENCEVILLE HWY NW STE 110, LILBURN, GA 30047-2831
(404) 868-9646
Mailing address
605 WINDSOR BROOK LN, LAWRENCEVILLE, GA 30045-3825
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/02/2026
Last updated
02/02/2026
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