Individual
NAADIYAH SHABAZZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4177 RAINBOW DR, DECATUR, GA 30034-2224
(951) 796-0760
Mailing address
27777 INKSTER RD STE 100, FARMINGTON HILLS, MI 48334-5312
(951) 796-0760
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-84305
GA
Other
Enumeration date
11/06/2023
Last updated
09/25/2025
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