Nasra Mustaf Isaak
Individual provider Active NPI Behavior Technician · Clarkston, GA
NPI 1235836636 · NPPES record last updated Feb 15, 2023
Key facts
- NPI
- 1235836636
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 751 N Indian Creek Dr Apt 650
Clarkston, GA 30021-2339 - Phone
- (614) 218-4453
- NPI assigned
- Feb 15, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
751 N Indian Creek Dr Apt 650
Clarkston, GA 30021-2339
Mailing address
751 N Indian Creek Dr Apt 650
Clarkston, GA 30021-2339
Phone (614) 218-4453
Other providers in Clarkston, GA
- Kimberly M Humphrey Browne
- Corinthian Ann Humphries
- Minh-Tho Huynh
- Adaobi C Iheduru
- Intabwe Community,Inc
- J Cargile LLC
- Sonni Jackson
- Sydney Jakes
- Carlton Johnson
- Ariana Sade Jones
All providers in Clarkston, GA · Behavior Technician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 15, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.