Individual
SHANYLA BLAKENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1155 CONCORD RD SE STE 220, SMYRNA, GA 30080-4255
(470) 666-2550
Mailing address
10716 GLENLUCE AVE, CHARLOTTE, NC 28213-4239
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/16/2021
Last updated
06/04/2025
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