Damonah Shynese Alexander

Individual provider Active NPI Behavior Technician · Dunwoody, GA

NPI 1992385223 · NPPES record last updated Apr 12, 2021

Key facts

NPI
1992385223
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
1 Dunwoody Park Ste 220
Dunwoody, GA 30338-7404
Phone
(470) 702-9402
NPI assigned
Apr 12, 2021
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 Technician 106S00000X Yes

Addresses

Primary practice location

1 Dunwoody Park Ste 220
Dunwoody, GA 30338-7404

Mailing address

300 International Pkwy Ste 200
Lake Mary, FL 32746-5028

Other providers in Dunwoody, GA

All providers in Dunwoody, GA · Behavior Technician in Georgia

Sources for this page

Verify at the official NPI Registry.