Individual
KRISTINA SHIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
376 POWDER SPRINGS ST STE 140, MARIETTA, GA 30064-3448
(678) 691-2206
Mailing address
376 POWDER SPRINGS ST STE 140, MARIETTA, GA 30064-3448
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/07/2018
Last updated
09/07/2018
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