Individual
AALIYAH-NICHOLE MARIE SHAKIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1833 WATERSIDE DR NW, KENNESAW, GA 30152-8292
(678) 486-7104
Mailing address
1833 WATERSIDE DR NW, KENNESAW, GA 30152-8292
(678) 486-7104
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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