Individual
LAVESTA MONIQUE FEAGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1640 PHOENIX BLVD, ATLANTA, GA 30349-5572
(402) 595-8586
Mailing address
985 BULOXI BLVD, RIVERDALE, GA 30296-6071
(678) 201-4845
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-76240
GA
106S00000X
Behavior Technician
RBT-22-210796
GA
Other
Enumeration date
04/07/2022
Last updated
10/04/2024
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