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Individual

AMEEN SHABAZZ MUHAMMAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
260 PEACHTREE ST NW, ATLANTA, GA 30303-1202
(404) 566-1278
Mailing address
5510 MORNING CREEK CIR, ATLANTA, GA 30349-3538
(404) 566-1278

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
GA

Other

Enumeration date
10/07/2021
Last updated
10/14/2021
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