Individual
AFEAGA IZIEGBE HAMLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RBT
Contact information
Practice address
4920 ROSWELL RD STE 1, ATLANTA, GA 30342-2684
(470) 258-4163
(470) 208-2364
Mailing address
300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 32746-5028
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-137948
GA
Other
Enumeration date
10/16/2020
Last updated
09/15/2021
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