Individual
JA'DIYAH SHAMSIDDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
613 STEPHENSON AVE STE 206, SAVANNAH, GA 31405-5841
(803) 999-7524
Mailing address
1321 MURFREESBORO PIKE STE 702, NASHVILLE, TN 37217-2679
(615) 361-4000
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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