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NPI Code Detail

MEDICARE: MONIQUE WASHINGTON

MEDICARE:   MONIQUE  WASHINGTON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1053242826
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONIQUE WASHINGTON
Provider Business Mailing Address
First Line : 2648 CANDLER PKWY APT 7101
Second Line :
City : DECATUR
State : GA
Zip : 30032-3490
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2648 CANDLER PKWY APT 7101
Second Line :
City : DECATUR
State : GA
Zip : 30032-3490
Country : US
Telephone Number : 470-333-0558
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2026
Last Update Date : 05/28/2026

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Directions to “ MONIQUE WASHINGTON ” Practice Location

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