SHAKIA LYNN BLAKE

DOUGLASVILLE, GA
NPI1588201768
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: GA  RBT-18-57909)
Enumeration Date2019-12-05
Last Update Date2019-12-05
Business Address
SHAKIA LYNN BLAKE
1030 ABERCORN WAY
DOUGLASVILLE, GA 30134-6466
Phone number: 914-426-7547
Mailing Address
SHAKIA LYNN BLAKE
1030 ABERCORN WAY
DOUGLASVILLE, GA 30134-6466
Phone number: 914-426-7547
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