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Individual

ZAHRA ALLEY LOCOCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5163 ROSWELL RD, ATLANTA, GA 30342-2206
(866) 523-4268
Mailing address
5163 ROSWELL RD, ATLANTA, GA 30342-2206

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-60121
GA
106S00000X
Behavior Technician
RBT-19-100167
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RBT-19-100167
RBT
GA
Enumeration date
07/09/2020
Last updated
04/24/2023
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