Individual
JANNA SHAHOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5163 ROSWELL RD, SANDY SPRINGS, GA 30342-2206
(877) 288-4760
Mailing address
1738 CANTON LN, MARIETTA, GA 30062-2678
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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