Individual
SHAQUENA LYN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAT
Contact information
Practice address
3153 SPICY CEDAR LN, STONECREST, GA 30038-7160
(678) 989-6208
Mailing address
3153 SPICY CEDAR LN, STONECREST, GA 30038-7160
(678) 989-6208
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/27/2025
Last updated
03/27/2025
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