Individual
ZYVIERA SHAINECE BALLOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
1410 CUSTER AVE SE, ATLANTA, GA 30316-3304
(855) 772-8847
Mailing address
2814 PROCUREMENT CIR, FAYETTEVILLE, NC 28303-4852
(855) 772-8847
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-51147
FL
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
CA
Other
Enumeration date
02/16/2018
Last updated
03/04/2026
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