Individual
IMANI OJUDOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
309 TAMARRON PKWY SE, ATLANTA, GA 30339-0203
(305) 747-3867
Mailing address
309 TAMARRON PKWY SE, ATLANTA, GA 30339-0203
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-480781
GA
Other
Enumeration date
12/26/2025
Last updated
12/26/2025
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