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Asanti Boone

Behavior Technician in Lithonia, GA. Individual provider (NPI-1).

NPI number1609464643
StatusActive
Last updated in NPPESMay 10, 2023

Details

NPI
1609464643
Entity type
Individual (NPI-1)
Name
Asanti Boone
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 5, 2021
Certification date
May 10, 2023
Last updated
May 10, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior TechnicianRBT-21-159267GAYes

Practice location

5461 Hillandale Dr
Lithonia, GA 30058-4841

Phone 470-361-2976

Mailing address

5461 Hillandale Dr Ste 100
Lithonia, GA 30058-4842

Phone 612-402-9763

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