Abdul Shabazz

Behavior Technician · Roswell, GA

Individual Active NPI

NPI number 1376198424

Practice location

11660 Alpharetta Hwy Ste 320
Roswell, GA 30076-3878
Phone
(678) 608-2543

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NPI record

NPI
1376198424
Entity type
Individual (Type 1)
Enumeration date
August 6, 2019
Last updated
January 20, 2021
Certified
January 20, 2021
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — —

Mailing address

1824 Old Dogwood
Jonesboro, GA 30238-7515
Phone
(843) 302-2419

About Abdul Shabazz

Abdul Shabazz is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 11660 Alpharetta Hwy Ste 320, Roswell, GA 30076-3878. The NPI number 1376198424 was assigned on August 6, 2019 and the record was last updated on January 20, 2021.

Frequently asked questions

What is the NPI number of Abdul Shabazz?

The NPI number is 1376198424.

What is the phone number of Abdul Shabazz?

The phone number listed for the practice location is (678) 608-2543.

Where is Abdul Shabazz located?

11660 Alpharetta Hwy Ste 320, Roswell, GA 30076-3878.

What is the taxonomy code for Abdul Shabazz?

The primary taxonomy code is 106S00000X – Behavior Technician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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