Individual
AMANNI SHANAI MALLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 DALLAS HWY SW # 202-1119, MARIETTA, GA 30064-2567
(678) 672-0068
Mailing address
1500 WALTON RESERVE BLVD APT 5301, AUSTELL, GA 30168-2518
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
GA
Other
Enumeration date
06/04/2026
Last updated
06/04/2026
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