Individual
TASHEKA PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1894 LUDOVIE LN, DECATUR, GA 30033-1044
(470) 891-5825
Mailing address
384 LOBDALE FALLS DR, LAWRENCEVILLE, GA 30045-7984
(678) 689-4703
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/15/2022
Last updated
02/15/2022
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