Individual
SHAPPHIRA MCINTOSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
235 E PONCE DE LEON AVE STE 265, DECATUR, GA 30030-1106
(678) 427-1805
Mailing address
1136 MASON WOODS DR NE, ATLANTA, GA 30329-3804
(678) 427-1805
(404) 282-8846
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12583625
GA
Other
Enumeration date
08/27/2025
Last updated
08/27/2025
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