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Shaneka Joanne Taylor

Behavior Technician in Duluth, GA. Individual provider (NPI-1).

NPI number1033736632
StatusActive
Last updated in NPPESJun 29, 2020

Details

NPI
1033736632
Entity type
Individual (NPI-1)
Name
Shaneka Joanne Taylor
Sex
Female
Sole proprietor
No
Enumeration date
Jun 29, 2020
Certification date
Jun 29, 2020
Last updated
Jun 29, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

4390 Pleasant Hill Rd Ste D
Duluth, GA 30096-8054

Phone 770-847-7737 · Fax 770-353-9357

Mailing address

300 International Pkwy Ste 200
Lake Mary, FL 32746-5028

Phone 866-610-0580

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