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Shakeria Aliyah Gathers

Behavior Technician in Tallahassee, FL. Individual provider (NPI-1).

NPI number1164098596
StatusActive
Last updated in NPPESMay 27, 2021

Details

NPI
1164098596
Entity type
Individual (NPI-1)
Name
Shakeria Aliyah Gathers
Sex
Female
Sole proprietor
No
Enumeration date
May 27, 2021
Certification date
May 27, 2021
Last updated
May 27, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

2013 Miccosukee Rd
Tallahassee, FL 32308-5307

Phone 850-391-6060 · Fax 850-692-6206

Mailing address

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

Phone 866-610-0580

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