Mrs. Tanisha Nicole Kini Carroll
Mrs. Tanisha Nicole Kini Carroll is a Behavior Technician in Dallas, Georgia. Licensed in Georgia. Registered with an NPI since 2021.
- Licensed in
- GA
- In the registry since
- 2021
Practice location Address checks out
80 Mossy Oak LnDallas, GA 30157-1236
Phone: (678) 794-5578
Fax: (678) 742-8553
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X (GA) |
|---|
Record details
| NPI number | 1043981962 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 21, 2021 |
| Last updated in NPPES | September 21, 2021 |
| Certification date | September 21, 2021 |
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