Individual
DEAISHA KIRKLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6737 BILL CARRUTH PKWY APT 3234, HIRAM, GA 30141-3773
(404) 259-9136
Mailing address
6737 BILL CARRUTH PKWY APT 3234, HIRAM, GA 30141-3773
(404) 259-9136
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
GA
Other
Enumeration date
10/13/2025
Last updated
10/13/2025
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