Shaniqua Barron

Individual provider Active NPI Behavior Analyst · Lithia Springs, GA

NPI 1760047740 · NPPES record last updated May 6, 2019

Key facts

NPI
1760047740
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
Practice address
6110 Brodick LN
Lithia Springs, GA 30122-6884
Phone
(678) 267-6139
NPI assigned
May 6, 2019
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)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Yes

Addresses

Primary practice location

6110 Brodick LN
Lithia Springs, GA 30122-6884

Mailing address

6110 Brodick LN
Lithia Springs, GA 30122-6884

Other identifiers

IdentifierTypeStateIssuer
4552OtherN/A

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL Dogwoodautism.com

Other providers in Lithia Springs, GA

All providers in Lithia Springs, GA · Behavior Analyst in Georgia

Sources for this page

Verify at the official NPI Registry.