Nasra Mustaf Isaak
Behavior Technician in Clarkston, GA. Individual provider (NPI-1).
NPI number1235836636
StatusActive
Last updated in NPPESFeb 15, 2023
Details
- NPI
- 1235836636
- Entity type
- Individual (NPI-1)
- Name
- Nasra Mustaf Isaak
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 15, 2023
- Certification date
- Feb 15, 2023
- Last updated
- Feb 15, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
751 N Indian Creek Dr Apt 650Clarkston, GA 30021-2339
Phone 614-218-4453
Mailing address
751 N Indian Creek Dr Apt 650Clarkston, GA 30021-2339
Phone 614-218-4453
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