KHADIESHA STATUM

ALPHARETTA, GA
NPI1225608367
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: GA  RBT-21-165427)
Enumeration Date2021-06-30
Last Update Date2026-03-26
Business Address
KHADIESHA STATUM RBT
6505 SHILOH RD STE 100
ALPHARETTA, GA 30005-1645
Phone number: 678-648-7644
Mailing Address
KHADIESHA STATUM RBT
6505 SHILOH RD STE 100
ALPHARETTA, GA 30005-1645
Phone number: 678-648-7644
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