MAKENZIE JORDAN ABDUS-SHAHID
Individual Provider (NPI-1)
Active
Behavior Technician
Provider Information
- NPI Number
1598688434- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 2167 BOLTON DR NW APT 1467, ATLANTA, GA, 303189317
- Phone
- (980) 949-9437
Specialties & Taxonomies
Behavior Technician
Primary License: GA
All Addresses
MAILING
2167 BOLTON DR NW APT 1467
ATLANTA, GA, 303189317