Individual
AKILAH ANNIKA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2166 MACON DR SW, ATLANTA, GA 30315-6454
(503) 410-2341
Mailing address
2166 MACON DR SW, ATLANTA, GA 30315-6454
(503) 410-2341
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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