Shawtevais Keyann Griffin, BCBA
Behavior Analyst in Kennesaw, GA. Individual provider (NPI-1).
NPI number1124589510
StatusActive
Last updated in NPPESOct 28, 2020
Details
- NPI
- 1124589510
- Entity type
- Individual (NPI-1)
- Name
- Shawtevais Keyann Griffin
- Credential
- BCBA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 27, 2019
- Certification date
- Oct 28, 2020
- Last updated
- Oct 28, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-19-35413 | GA | Yes |
Practice location
1619 Collins Rd Nw Ste 500Kennesaw, GA 30152-8237
Phone 404-606-6531
Mailing address
300 International Pkwy Ste 200Lake Mary, FL 32746-5028
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