Individual provider · NPI-1

Mikeyera Marshall

Behavior Analyst · Lithonia, GA

NPI number1114600301
StatusActive
Last updated in NPPESJul 3, 2025

Details

NPI
1114600301
Entity type
Individual (NPI-1)
Name
Mikeyera Marshall
Sex
Female
Sole proprietor
No
Enumeration date
Aug 14, 2023
Certification date
Jul 3, 2025
Last updated
Jul 3, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst1-25-82249GAYes
106S00000X Behavior TechnicianBACB829750GA

Practice location

5461 Hillandale Dr Ste 100
Lithonia, GA 30058-4842

Phone 470-361-2976

Mailing address

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

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