Individual
MIKEYERA MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5461 HILLANDALE DR STE 100, LITHONIA, GA 30058-4842
(470) 361-2976
Mailing address
300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 32746-5028
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-82249
GA
106S00000X
Behavior Technician
BACB829750
GA
Other
Enumeration date
08/14/2023
Last updated
07/03/2025
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