Kisa Hazel
Kisa Hazel is a Behavior Technician in Augusta, Georgia. Licensed in Georgia. Registered with an NPI since 2019.
- Licensed in
- GA
- In the registry since
- 2019
Practice location Address checks out
3727 Executive Center DrAugusta, GA 30907-2398
Phone: (706) 842-5330
Fax: (706) 842-5340
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X · Licence RBT-19-91577 (GA) |
|---|
Record details
| NPI number | 1326600040 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 2, 2019 |
| Last updated in NPPES | February 24, 2021 |
| Certification date | February 24, 2021 |
| Mailing address | 3736 Executive Center Dr, Augusta, GA 30907-2360 |
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Deanne Hearst
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Shanterial Heath
3727 Executive Center Dr, Augusta, GA 30907-2398 · (706) 842-5330