Individual provider · NPI-1

Dejah Malkeevia Worthen

Behavior Analyst · Dublin, GA

NPI number1194569459
StatusActive
Last updated in NPPESJun 22, 2024

Details

NPI
1194569459
Entity type
Individual (NPI-1)
Name
Dejah Malkeevia Worthen
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 21, 2024
Certification date
Jun 22, 2024
Last updated
Jun 22, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst1-24-73585GAYes

Practice location

1717 Rice Ave
Dublin, GA 31021-3524

Phone 478-279-7214

Mailing address

408 Poplar St
East Dublin, GA 31027-7759

Phone 478-595-0976

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