Individual
ALHAJI KHALIL YILLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5503 RIVERDALE RD APT 4G, ATLANTA, GA 30349-6448
(860) 655-9502
Mailing address
5503 RIVERDALE RD APT 4G, ATLANTA, GA 30349-6448
(860) 655-9502
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
755653
GA
Other
Enumeration date
04/23/2022
Last updated
04/23/2022
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