Individual
ASHANTI Y HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3185 NORTHEAST EXPY NE STE 110, ATLANTA, GA 30341-5346
(404) 487-6005
Mailing address
111 JOHN WESLEY DOBBS AVE NE, ATLANTA, GA 30303-2408
(954) 802-0086
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
GA
Other
Enumeration date
05/17/2024
Last updated
05/17/2024
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