ANDISHEH FATHE-AAZAM

BARNESVILLE, GA
NPI1720796659
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106E00000X Assistant Behavior Analyst
(Licence: GA  0-25-16285)
Enumeration Date2022-11-09
Last Update Date2025-10-01
Business Address
ANDISHEH FATHE-AAZAM BCaBA
229 HIGHWAY 41 N
BARNESVILLE, GA 30204-3209
Phone number: 888-963-2228
Mailing Address
ANDISHEH FATHE-AAZAM BCaBA
39 JA ANN DR
THOMASTON, GA 30286-3925
Phone number: 831-201-8774