Kiyanie Chaquez Fedrick
Kiyanie Chaquez Fedrick is a Behavior Technician in Marietta, Georgia. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
1519 Johnson Ferry Rd Bldg 10Marietta, GA 30062-6409
Phone: (866) 523-4268
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1043929755 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | November 21, 2022 |
| Last updated in NPPES | November 21, 2022 |
| Certification date | November 21, 2022 |
| Mailing address | Dept La 22763, Pasadena, CA 91185-2763 |
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