Individual
IDANESI NACOLE OMONUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3190 NORTHEAST EXPY NE, ATLANTA, GA 30341
(470) 827-2022
Mailing address
8619 THOMAS LN # A, RIVERDALE, GA 30274-5196
(470) 827-2022
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/21/2025
Last updated
01/21/2025
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