Individual
TASHEENA BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3830 WASHINGTON RD, AUGUSTA, GA 30907-5064
(762) 222-7629
Mailing address
PO BOX 931142, ATLANTA, GA 31193-1142
(615) 696-6761
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-68176
GA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/01/2019
Last updated
10/03/2023
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