Individual
SHARHONDA BARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
73 MIDWAY PARK ROAD, SILVER CREEK, GA 30173
(706) 766-8874
Mailing address
73 MIDWAY PARK RD SE, SILVER CREEK, GA 30173-2476
(706) 766-8874
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
364S00000X
GA
171WH0202X
Home Modifications Contractor
58-2103386
GA
376G00000X
Nursing Home Administrator
Primary
251S00000X
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
364S00000X
—
GA
05
—
58-2103386
—
GA
05
—
HIGHLAND RIVERS CSB
—
GA
Enumeration date
12/10/2015
Last updated
12/10/2015
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