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1912569765
NA-ILAH IMANI FULTON
DECATUR, GA
NPI
1912569765
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: GA 1-23-66096)
Enumeration Date
2019-07-02
Last Update Date
2024-09-06
Business Address
NA-ILAH IMANI FULTON MA
160 CLAIREMONT AVE STE 200
DECATUR, GA 30030-2546
Phone number: 678-954-5721
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Mailing Address
NA-ILAH IMANI FULTON MA
1045 MOSSCROFT CT
LAWRENCEVILLE, GA 30045-9788
Phone number: 770-608-1916
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